Threshold

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)

"Threshold" is a meticulously crafted Canadian drama with several stars in top form. There's Donald Sutherland as the heart doctor who is warm and genial, but still keeps an emotional distance from his daily activities. This is evidenced in the scene where he's talking about the miracles that he's experienced in his life, and he doesn't mention a single one of his life-saving operations. He doesn't see himself as a Superman, just an ordinary man doing his job. He has no ego or God-like persona, he's just a dedicated doctor. He is so phenomenal in this role that I would have to say it's my favorite Donald Sutherland performance, and he's given many great ones. I also thought this was one of Jeff Goldblum's best performances, right up there with "The Fly". In "Threshold", he is totally believable as a 34-year-old man who has dedicated probably every inch of free space in his mind thinking about his exhilirating project for over a decade, possibly all his life. When people scoff at his ideas with vague, juvenile arguments, he begins rambling and rambling about the specific virtues of his experiment so descriptively, passionately, sometimes euphorically that the result is often exciting, like in the incredible scene towards the end between him and the radio personality; he always totally ignores any childish comments and goes straight to the heart of the matter. It's no wonder that when his invention seems to work he is suddenly overcome with grandiosity, because he basically is his project, totally. Few people ever devote this much of their life and minds to one incredible concept like this, and as a result, he becomes carried away.

Mare Winningham is such a priceless jewel in "Threshold" as Sutherland's first artificial heart transplant. She is luminous in every one of her scenes, particularly towards the end. We feel so much sympathy for her character and only want the best for her in the end. She should have been Oscar-nominated along with Sutherland and Goldblum for this. I'll never forget how much I could truly feel her sense of loss and fear after the surgery: "I'm just not the same."

The film obviously raises the issue that many people feel Sutherland and Goldblum are "playing God", and I could be wrong, but that was kind of an impression I got from one scene right after Winningham's surgery when she's still sedated. Sutherland comes to see her and as he's watching her sleep he hears the ominous sound of a helicopter overhead, which we know is the press, but it's almost like a rumble from a God uknown, a private message to Sutherland, at least that's what I imagined his character might be thinking. I'm not sure if it signified an approval of or anger at the operation, but I would guess that in his character's mind it would have been the latter.

The film has a deceptively happy ending. Winningham seems to physically fine in the end, but as she's walking with her parents from the hospital we can see in her eyes that she's lost herself and will probably never be the same. She may in time learn to forget somewhat about her anxieties or put them aside, but it's doubtful. Then of course there's always the possibility she could die the very next day, being that the prosthetic heart is so experimental.

The film has some very beautifully lit scenes, like the first scene that we see Winningham talking to Sutherland on the street at night. It's the almost glowing background lights that make this scene so beautiful, apart from the actors; it has an ethereal feel to it.

I walked away from "Threshold" feeling that I had gained something as a human being from watching it. Not only that, I enjoyed the experience!

My rating: 10/10

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.

"Threshold" is a film with a very clear, heavy presence of reality. The trade-off of this, of course, is the same as all such realist films - pacing. This is not something you can watch for big thrills and the explosive energy of medical trauma. Richard Pearce, and his cinematographer, Michel Brault, create a world that looks and feels so human it's almost painful. Each successive scene is like a new revelation on light and colour and depth of field. Brault gets right into the action, the movement, the emotional expression. The most remarkable thing about James Salter's script is how it avoids all those common medical clichés and falsehoods so often employed in such stories. The three lead actors - Donald Sutherland, Jeff Goldblum, and Mare Winningham - are observed in an almost documentarian way. They are people of depth, but not in a way we commonly see in films. The characters in "Threshold" are not distant, no, but what we get from them depends on our power of perception. They are laid out in front of us in much the same way as each person we encounter in life. That's the great strength of Pearce's direction here (his next film, "Country", has a similar approach).

"Threshold" is mostly unknown, and not available on DVD. There is one main reason for this - it was a Canadian production, released at a time when such films weren't widely seen, and commonly forgotten soon after. I paid a significant amount to purchase the VHS online. I don't regret this, but the breathtaking cinematography deserves a modern format.

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.