By Richard Winters
My Rating: 7 out of 10
4-Word Review: Who’s killing the patients?
Susan Wheeler (Genevieve Bujold) is a Dr. working as a surgeon at Boston Memorial Hospital, who learns that her best friend Nancy (Lois Chiles) fell into a coma at the hospital while having routine surgery. Susan is convinced that there must be an answer to what went wrong as Nancy was young and had no underlying health conditions. While reviewing the hospital records she finds that a high number of other patients at the hospital ended up having the same fate and all were of a similar age and body type as Nancy. Susan also notices that the patients had surgery in the same operating room and once they became comatose their bodies where shipped off to a remote facility known as The Jefferson Institute. Susan’s boyfriend Mark (Michael Douglas), who also works at the hospital, tries to convince her it’s all a coincidence, but the more Susan investigates the more determined she is to uncover the truth even if it means putting her job and even her life on the line.
The film is based on the novel of the same name written by Robin Cook. Cook, a physician, decided to dabble in writing on his off-hours and in 1973 got his first novel, ‘The Year of the Intern’, published but it was a financial failure. While that book had been more of a drama he came to realize that thrillers was the genre that had the most commercial success. He studied how, in his words, ‘the reader was manipulated by the writer’, in the thriller novels that he had enjoyed and then listed these techniques on index cards and made sure to use them in ‘Coma’, which lead to that book being a best-seller. Michael Crichton, who had met Cook while he was working on a post doctorate at La Jolla’s Salk Institute, agreed to sign on as the director where he hoped to create a film that would delve into people’s fear of hospitals the way Jaws had connected to people’s phobias about sharks and swimming.
The result is a nice compact thriller that moves along at a brisk pace and takes advantage of both the director’s and author’s medical background to help keep the scenario both realistic and enlightening to the inner-workings of a hospital. There’s a couple of cool foot chase scenes with one occurring between Bujold and actor Lance LeGault inside the hospital while another happens at the ominous looking Jefferson Institute with both being quite intense.
Bujold, despite being different than the protagonist in the novel, who was described as blonde and 23 while Bujold is brunette and 35 at the time of filming, was still a perfect casting choice. I loved her French Canadian accent, which gives her character distinction, but she does appear at times to have reddish nose and cheeks making her seem like she had a rash or cold. What I didn’t like was that the feminist angle of the character, which had been so prominent in the novel, gets played-down here. In the book Susan did not know Nancy and simply took on the case through her own personal initiative to prove herself in an otherwise ‘man’s world’, which was more compelling than the pedestrian way here where she investigates the case simply because she’s heartbroken over the loss of a friend.
It also didn’t make sense to me why she was the only one upset over the deaths of these patients. The patients most likely had family and friends, so why weren’t any of them demanding answers to what happened? We live in a sue-happy culture and medical malpractices are the most prevalent lawsuits out there making me believe this racket wouldn’t have been able to survive too long as lawyers and private investigators, who would’ve been hired by the grieved family members, would’ve been on the case demanding answers from the hospital long before Susan ever even got involved.
The Susan character has the same issues as James Coburn’s did in The Carey Treatment where we have a medical professional with no background in investigating suddenly showing amazing instinct on-the-spot that you’d only expect from a seasoned detective. Having a group of people, like the grieved relatives, working together to solve the case would’ve had more interesting banter and camaraderie, which is missing here. While seeing an individual take down a mighty criminal system is emotionally gratifying it usually takes a strong team of people working in tandem to accomplish that.
I did find the film’s climax where Susan goes under the knife and risks being another comatose victim, to be quite suspenseful, but I found it strange why this woman, who had done all the legwork to uncover the crime, would then just hand-it-over to the creepy hospital administrator, played by Richard Widmark, to finish the job instead of her going to the police with her findings. The Widmark character displayed a lot of red flags from the start, which is obvious to the viewer, so why is Susan, who had been so super savvy the rest of the time, so dumb at the end and trust a creep like him to do the right thing?
My Rating: 7 out of 10
Released: January 6, 1978
Runtime: 1 Hour 53 Minutes
Director: Michael Crichton
Available: DVD, Blu-ray, Amazon Video, YouTube, HBOMax