A cuore aperto

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.

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.

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.

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.

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.