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.

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)

"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.