Threshold

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.

I wasn't really looking forward to seeing this film, and only ended up watching it because it stars Donald Sutherland and Jeff Goldblum, two of Hollywood's most talented and inimitable actors.

In the end, though, I glad I did watch it - THRESHOLD turned out to be an engaging and absorbing drama. It's a fictional account of the first ever artificial heart transplant, and feels so realistic that you'd never guess it was made two years before the artificial heart became a reality.

Donald Sutherland's first-rate performance is probably the highlight of the movie - when he's this good, you wonder if there's anyone he couldn't act off the screen. A then unknown Jeff Goldblum holds his own admirably as the idealistic young doctor who invented the artificial heart, and the film features some impressive camerawork, most notably the opening tracking shot.

All in all, it helps if you're a Sutherland fan, but it's not essential; this is one of those movies whose relaxed pace, absorbing atmosphere and strong performances will have you hooked right from the start.

For some reason, this very good movie only has a paltry overall score of 5.9 at this time. It's especially odd since all the reviewers (so far) score the film higher...often quite a bit higher.

"Threshold" is a great name for this movie. After all, it's about someone receiving the first artificial heart and only a year later, a primitive sort of artificial heart was implanted in a human. Because of this, I am not sure the term 'sci-fi' is appropriate. Instead, it's a film about what was about to become...though even to this day, such devices are only experimental.

Dr. Vrain (Donald Sutherland) is one of the foremost heart surgeons in the world. He's an expert at transplants, though he's interested in possibly implanting an artificial heart in the future. So, when he meets a weird biologist (Jeff Goldblum) it appears such an operation might be completed.

This film is not that farfetched and making such procedures seem possible is its great strength. Additionally, while I certainly am no surgeon, the surgeries you see look pretty realistic. However, some might balk at the path the film takes, as very soon after the surgery occurs, the story ends....and my wife hated this. She wanted to know more...though because this is unchartered territory I didn't mind the vague ending.

Overall, some excellent acting and an absorbing story make this worth seeing.

"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

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.