A cuore aperto

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

I think the most attractive sci-fi movies are those that are closer to truth than fiction. I remember when Jurassic Park came out in 1993 (I see you Jeff Goldblum) it was such a hot topic. In fact, even though I was only a teenager, I don't think I'd ever heard the term DNA before. Jurassic Park popularized the three letter acronym and made us all believe that it may even be possible to revive a long dead species.

Threshold has a similar believability. Doctor Vrain (Donald Sutherland) is the world's preeminent heart surgeon. He has performed such cutting edge heart surgeries they could be considered miracles. But there are conditions he can't even fix.

Dr. Aldo Gehring (Jeff Goldblum) is a biologist that believes he can create an artificial heart. As he put it, man didn't fly by mimicking a bird, they flew by creating a machine different than a bird. So trying to mimic a heart is similarly futile. Dr. Aldo invented a heart with a tiny steam engine that uses just a drop of water that it constantly recycles to drive it. And instead of pumping blood as a normal heart would by contracting and expanding, it uses a vortex action to pump blood throughout the body.

Threshold gives us that perfectly believable blend of science and fiction. It gives us that with the drama of a hospital movie/show that so many of us love. In the end, we all want to see lives saved because it gives us hope. And maybe that's what the true appeal of Threshold is--that it instills hope.

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)