Threshold, l'expérience finale

Amazingly to me, this film appeared on cable very often when my child was an infant with congenital heart defects. The makeup giving Mare Winningham the look of oxygen deprivation was very realistic and gives the viewer a picture of the "dusky" skin tone of some heart patients. The restraint of the Vrain/Carol relationship was right on, and the peripheral but agonized part of the parent was poignantly depicted by Carol's father. The film is almost a relief from the typical "dramatized" film about illness. Heart difficulties are inherently dramatic to the lay person (perhaps not to doctors, though) and need no melodramatic treatment. The understatement, the lack of statement all serve the subject well. The cold, orderly world of the (urban, state-of-the-art)hospital that contains so much extraordinary work comes across beautifully in this film. I'm glad others appreciate it.

Like most physicians, I tend not to watch medical shows in Movies and on Television; partly because they aren't usually very realistic - the real world seldom has sufficient drama to make good entertainment - and partly because one doesn't normally look for relaxation or entertainment in the same field in which one works. I saw Threshold for the first time recently only because I am a great admirer of Donald Sutherland's considerable talent. In this film, Sutherland is at his best, creating a portrait of a Cardiovascular Surgeon which is so real I could recognize several of the surgeons I know personally. He embodies both their strengths and weaknesses. Perhaps the most notable attribute he gives the fictitious Dr. Vrain is the total commitment and life absorbtion which a heart surgeon must have, even when it weakens his ability in other facits of life. One of the film's advisors was Dr. Denton Cooley, the pioneering Dallas Surgeon; Sutherland must have studied and worked with him extensively to so perfectly capture the personality and persona. The film follows his lead in making nurses, and their daily routines in the hospital unusally true and realistic also. This film is worth seeing just for the strength of Sutherland's portrayal and the realistic view of the medical world alone.

This movie is well-worth watching and I highly recommend it for many of the reasons from others listed here. As another reviewer "tdilts9219" noted, it appears based on the famous Texas heart center in real life. Surprisingly in 1998, the fictional 1981 plot came even closer to a real life situation. In Oxford England, Aug 1998, a renowned heart surgeon Stephen Westaby placed heart replacement pump AB-180 into a young woman Julie Mills to save her life. The AB-180 was invented by George Magovern, a US inventor and has the same key property as the heart replacement in the movie. Add a few of innovations from Jeff Goldblum's fictional inventor, and AB-180 would be a match for the movie. Wait another decade, and it might be another case of sci-fi preceding reality. (source Reader's Digest, April 2000)

I wish this film would come out on DVD. Others here have written well about the movie, so I won't add to that. But it's illuminating that 25 years after I first saw it, there are scenes that still stand out vividly in my mind. One of my favorites is when, the night before the surgery while Sutherland is making his final plans, he pauses for a moment in front of the x-ray light box, and spreads his hand out on it. He quietly examines his hand, the hand of a surgeon that will soon cut out a woman's heart and replace it with a machine. Can he really do it? Should he? An amazing moment. Whoever has the rights, please release this on DVD!

As near as I can tell, this movie is based directly on Dr. Denton Cooley's career. Dr. Cooley WAS the first doctor to use an artificial heart in a patient whose heart was unrepairable on the operating table. He was chastised for doing this at the time without approval and so he started his own hospital, The Texas Heart Institute. This movie closely follows the circumstance of that operation that transpired in the 1960's long before the first APPROVED artificial heart was used in Barney Clark in December of 1982. I remember the time well as I had to wait an extra day for Dr. Cooley to operate on me as he was delayed in getting back to Houston after Mr. Clarks operation. This is one movie based on closely related facts.