How to film a heart transplant | Little White Lies

How to film a heart transplant

28 Apr 2017

Words by David Jenkins

Woman with long blonde hair in a denim jacket, standing in front of an 'Entrance' sign.
Woman with long blonde hair in a denim jacket, standing in front of an 'Entrance' sign.
Katell Quil­lé­vere, direc­tor of the won­der­ful Heal the Liv­ing, reveals her tactics.

Heal the Liv­ing is the third fea­ture by the French direc­tor, Katell Quil­lé­vere, and it’s absolute­ly one of the best things you’ll see in the cin­e­ma this year (so far). It chron­i­cles the jour­ney of a human heart from one body to anoth­er, and touch­es on all the souls that jour­ney effects. Here, the direc­tor talks us through how she went about cap­tur­ing the details of a heart trans­plant as well as chan­nel­ing the intense emo­tions she expe­ri­enced while observ­ing the oper­a­tion in real life.

Quil­lé­vere: When you’re mak­ing a movie, I think the way you feel is very impor­tant. Inti­ma­cy is a neces­si­ty. I think I was con­fi­dent when it came to the strength of my desire to make some­thing emo­tion­al out of real­i­ty. When I first read the book which Heal the Liv­ing is based, it con­tained the promise of cin­e­ma right there in the words. There was emo­tion. And strong emo­tion is some­thing I real­ly like to deal with.

There is also the sci­en­tif­ic aspect which I found appeal­ing, and it’s an aspect which we do not see so often in art­house movies. I thought it would be inter­est­ing to look at the heart from the per­spec­tive that it’s a mus­cle, it’s a pump, it’s like a piece of butch­ery. I think that accept­ing this is as impor­tant as the emo­tion­al aspect of the organ.

I read a lot when it came to prepar­ing this film. I went to a hos­pi­tal and watched peo­ple at work in the reha­bil­i­ta­tion ser­vices. And I also spent time with sur­geons so I could get acquaint­ed with the tech­ni­cal aspects of the job – the words they employ, the man­ner they use to deal with the patients. This was very impor­tant in writ­ing all these scenes that were hap­pen­ing in the hos­pi­tal. And of course I read doc­u­ments talk­ing about the eth­i­cal aspects of trans­plants writ­ten by uni­ver­si­ty surgeons.

I watched a heart trans­plant. I tried to trans­mit exact­ly what I was feel­ing when I watched the heart trans­plant. The heart arrived in the box packed with ice. It was tak­en out. Then there was the wait­ing before the heart actu­al­ly starts to pump and beat again. My emo­tions at this point were incred­i­bly strong and I absolute­ly want­ed to recre­ate them. We always thought of this film as being a com­bi­na­tion between things like plumb­ing, butch­ery or sewing, and the sacred aspect about the big mys­tery of what life is. These were exact­ly the things I want­ed to bring togeth­er to com­bine in this moment.

There were big chal­lenges when it came to get­ting this on film: on the one hand we want­ed to pre­serve the impor­tance of the surgery, and on the oth­er side we didn’t want to make a doc­u­men­tary about it. So I had to cre­ate anoth­er type of image to bring this sen­sa­tion of the sacred to the screen. I used ref­er­ences to paint­ings of the six­teenth and sev­en­teenth cen­tu­ry show­ing surgery scenes. And I had some ref­er­ences to the bible, like the last sup­per or the wash­ing of the body.

I have an artis­tic advi­sor and she starts very ear­ly in help­ing me find a look” for the film. I ask her to look in art his­to­ry for doc­u­ments, for paint­ings, for rep­re­sen­ta­tions of the anato­my and the body. And she looks for pho­tos for films as well. For instance we were look­ing at a lot of films deal­ing with hos­pi­tals, to ask our­selves how can we film the hos­pi­tal in an orig­i­nal way. The same applies to the body. And so we are com­pos­ing a sort of corpse con­tain­ing films, pho­tos, books, all sorts of doc­u­ments. We cre­at­ed an inter­net site for the crew of the film, so every­body has access to the same doc­u­ments. We can then all have the same film in our heads, and that is very important.

In the end, I made my film with a deep love for human beings. I want­ed to show strength and weak­ness. I think that I want­ed to show that we can con­nect and link to oth­er peo­ple in a gen­uine way, and that we always have to capac­i­ty to trans­form some­thing ter­ri­ble into some­thing amazing.

Read our rave review of Heal the Liv­ing here.

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