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Beautiful Unbroken: One Nurse's Life

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An unflinching memoir by a working nurse As a child, Mary Jane Nealon dreams of growing up to become a saint or, failing that, a nurse. She idolizes Clara Barton, Kateri Tekakwitha, and Molly Pitcher, whose biographies she reads and rereads. But by the time she follows her calling to nursing school, her beloved younger brother is diagnosed with cancer, which challenges her to bring hope and healing closer to home. His death leaves her shattered, and she flees into her work, and into poetry. Beautiful Unbroken details Nealon's life of caregiving, from her years as a flying nurse, untethered and free to follow friends and jobs from the Southwest to Savannah, to more somber years in New York City, treating men in a homeless shelter on the Bowery and working in the city's first AIDS wards. In this compelling and revealing memoir, Nealon brings a poet's sensitivity to bear on the hard truths of disease and recovery, life and death.

224 pages, Paperback

First published July 19, 2011

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About the author

Mary Jane Nealon

5 books2 followers
Mary Jane Nealon is the winner of the 2010 Bakeless Prize for Nonfiction. She is the author of two collections of poetry, Immaculate Fuel and Rogue Apostle. She lives in Missoula, Montana."

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Displaying 1 - 30 of 54 reviews
Profile Image for Michael.
Author 26 books57 followers
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July 25, 2011
My review from the Missoula Independent:

As a hypochondriac, I don't typically read first-person medical nonfiction (or second-person, or third-person). I rarely pick up a memoir, and if I do, I invariably put it back down quickly. And I fervently stay away from books that feature exaggerated photographs of women floating dramatically on highly reflective pools of water. So, when I finally received my copy of Mary Jane Nealon's Beautiful Unbroken, I was skeptical, insofar as it complies with every one of my irrational offenses. I opened the book apprehensively, expecting to be at once repulsed by health care horrors and marginally disappointed by a sentimental storyline.

From the very first sentence, Beautiful Unbroken is not what I had feared. Yes, there are plenty of health care horrors, but to call this sentimental, or even slightly romanticized, would be like calling Requiem for a Dream an ecstatic saga about youth.

Nealon begins with: "As far back as I remember I wanted to be a nurse or a saint. I wanted to be heroic." Growing up in Jersey City, she read through the lives of the great nurses and caregivers of history, and, after watching her policeman father cut a neighbor down from a suicide attempt, she decides to care for people in spectacular ways. Becoming a flying nurse, Nealon travels the country, treating the seriously ill in chemotherapy and oncology wards. To overcome the stress she starts writing bits of poetry in her spare time. With the untimely death of her brother from cancer, Nealon seeks to escape the thought that she has abandoned him, while trying to replicate her love for him in the faces of other terminal boys.

A local poet and director of Program Development at Partnership Health Center, Nealon has two previous books of poems to her credit (certain lines from her second collection, Immaculate Fuel, made me an instant fan). She writes with great utility and the poet's disregard for the unnecessary. Episodically recalling past decades, she describes the huge numbers of ailing individuals she attended to, grand friendships and the whirlwind of short-term love affairs with various men in various locales ("Formula for love: be leaving town in three months", she sarcastically advises). Swept along from Savannah to New Mexico and back to the East Coast, Beautiful Unbroken hits again and again on the themes of leaving and returning, and how, at a particular point, these terms become interchangeable.

In 1987, everything in Nealon's world changed. As the AIDS epidemic exploded, she found herself plunged into a true heart of darkness, working in one of the first AIDS clinics in New York City. This job, combined with her later experience volunteering at an AIDS-decimated shelter in the Bowery, fill the most noteworthy passages of Beautiful Unbroken. One unforgettable incident has Nealon visiting the home of two HIV-positive brothers—who would die within the next few months—and observing the plight of their sorrowful mother. Even here, in the worst possible scenarios of Nealon's nursing career, the carefully rendered personalities of her patients and her sympathy with nearly everyone cuts through the gloom of the inevitable.

Nealon's prose bristles with little enlightenments that arise from coping daily with the emaciation of sufferers, to going on short hiatuses to Fishers Island and the nudist colony of Esalen. But what is perhaps most extraordinary about Beautiful Unbroken is Nealon's ability to out-maneuver devastating personal calamities with eloquence and determination. After more tragedy culminates with her witnessing the crumbling away of the Twin Towers, she moves to Missoula. "I lost my parents, and then the towers fell," Nealon writes with a characteristic blend of humor and sadness, "and it was the same grief: too large for anything I had ever known, but not, as it turns out, too large for Montana in winter."

A much-deserved recipient of a 2010 Bakeless Prize, Beautiful Unbroken is alternately despairing, funny, gross and entirely hopeful. It's a perfectly titled memoir that contains the material for 10,000 stanzas of top-notch poetry. There could have been more than the slim 20 pages detailing Nealon's early years and nursing school days, but this is a quibble with an otherwise striking narrative. This is a riveting autobiography, a heartrending glimpse of living among the dying. I finished the book in about two sittings and had the urge to call the author and demand that she tell me more.
Profile Image for Jessica at Book Sake.
645 reviews78 followers
September 2, 2011
An unflinching memoir is right. As a nursing student I really wanted to read this and see how nursing could change someone’s life. Now I want to give the author a giant hug while also applauding her for following her heart. There is one basic timeline but it’s interjected with flashes back and forward, as happens when you are telling a true story. The book covers the time from when the author was a child throughout her nursing career, but most of it does focus on the time she has worked as a nurse. Her story is heart breaking, there is so much loss in her personal life it’s amazing to see how it comes to play with her work.

Reading through all of the different types of nursing jobs that Nealon had was eye opening. I knew there were a lot of various types of careers a nurse can work as, but didn’t realize one person could do so many different things. She definitely has had the mentality that she would do whatever job other people weren’t doing – such as working with AIDS patients and I can totally relate to that as I’m the student that wants to work with the dead, the traumatized, or the mentally ill (not a big draw with the students in our school). Nealon seems to leave nothing out, no detail is left out and the story feels brutally honest. This isn’t a book that shows only the bright side of life and nursing, but shows how it really is.

Reviewed by Jessica for Book Sake.
Profile Image for Julie Ekkers.
257 reviews24 followers
September 5, 2011
Beautiful Unbroken is a lovely, lovely memoir. It won the Bakeless Prize for creative nonfiction, a prize which is awarded annually to launch the publication career of a poet, fiction writer, and creative nonfiction writer. I stumbled on it because Bakeless winners are published by Graywolf Press, from which I have purchased things in the past, and it was featured in an e-mail. What a happy find! The author is a nurse, and so trained in compassion, but she struggles throughout much of the book to treat her younger self with compassion for moving away from her family in what would be her brother's last days. Early in the book she writes, "What do we *owe* each other?" and answers herself by writing, "We owe more than we have. We owe more than we can bear." I thought the book was very much an exploration of coming to terms with all the ways in which this is unsatisfying, but all the ways in which what we can give, can still make a difference--to others, and to ourselves. The author spent time as a traveling nurse, and well as a nurse on an AIDS ward in NYC when very little was known about AIDS, and as a nurse to homeless men. She does an excellent job conveying what each of these situations was like, particularly how frightening AIDS was before medical professionals even knew what they were dealing with, and were trying to find a treatment that worked let alone a cure, and the world of poverty which is hidden from most of us.

The authors is also a poet, and writes with a poet's sensibilities. Early in the book I found myself impatient with the number of the metaphors, but I came to feel that their absence would be inauthentic. I believe this is the way in which the author just walks through the world. I also came to like the juxtaposition of the poetic and the author's very frank tone (as she author was a nurse, there's some tough stuff in here).

So well done. She doesn't grasp. . .she just holds her life out for the reader to see, and "shows her works" as she has made sense of that life.
152 reviews4 followers
September 12, 2011
You learn to salve the wounds of others by knowing and remembering how much it hurts to hurt. Often this memory comes from the realization of your past smallness and immaturity, your selfishness, your false victimhood, and your cruel victimization of others. It is often painful to recall or admit, yet this is also the grace of lamenting and grieving over how we have hurt others.

It is a gift to read this memoir of one who is connected to healing through knowing well her own hurts. Though Ms Nealon does not claim this, I feel like she is as much a chaplain as she is a nurse. And, she does not hesitate to let the poetry come through. Over and over I underlined places where the poetry took me deeper into the situation.

"I tried not to think about it, (the way she'd hurt her brother) but it was like barbed wire around my soul." (p 94)

"...even when I watched the fathers go back down the hall to the bar or their office I understood and made a bubble of understanding and forgiveness around my host families of death." (p.42)

I love the way words and body wisdom go together for Ms Nealon. She learned so much from her writing workshops. One of her teachers was "a gentle woman who was able to make room around a poem and let people talk about, but only if they could do so while continuing to respect where the poem had come from, to honor the impulse of making the poem." p. 47
Profile Image for McGuffy Morris.
Author 2 books19 followers
November 8, 2011
For Mary Jane Nealon, she knew her entire life that she was meant to serve others. Her role models were saints, and those who could be saints: nurses, such as Clara Barton. She read the biographies of truly admirable women, mostly saints and nurses that she would strive to be like.

Mary Jane follows her dream into nursing school. There, her dream takes on a new and very personal meaning. Her younger brother becomes seriously ill with cancer. When she loses him to the disease, she finds healing for herself in her nursing career and in poetry.

Poets have used this medium for hundreds, perhaps thousands, of years. Poetry can put feelings into words helping to sort out feelings and events in one's life. It is cathartic and healing.

Writing poetry helped Mary Jane in her healing and coming to terms with issues, and it honed her skills as a writer. She brings her poetic sensitivity to her memoir. Here she speaks of some of her experiences as a nurse in many difficult, even desperate situations. She works for some time as a medical flight nurse. Later she works men's homeless shelters, and the first AIDS ward in New York City.

This is a remarkable book, beginning with a title that is appropriate and poetic. I don't know if she will achieve saint status, but I know some nurses should. Mary Jane Nealon may be one of them.
Profile Image for Lori.
683 reviews31 followers
March 4, 2022
Mary Jane Nealon writes her reflections about
dying,loss, belonging, and caring ministrations. She is in her heart first a poet and secondly a nurse. The tragic loss of her brother coincided with her years in nursing school. Nealon began her nursing career working with cancer patients and moved into care of young men in the first frantic, frightening days of HIV. Throughout this memoir, she searches for her place in her life and family which remained broken by the death of her brother. Poetry pulled her deepest feelings outside of herself. Poetry helped to number the dead and sadness carried within. Poetry gave her life shape and direction. Through each milestone in life, Nealon writes. The results are beautiful unbroken moments .
Profile Image for Amy Holman.
1 review3 followers
June 10, 2012
This is a superbly written memoir of a flying nurse working in the south and southwest who returned home to treat New York City's homeless, and then found herself at the forefront of the AIDS epidemic as it ravaged gay men, and then black men and women. She is also a poet who grew up the middle child in an Irish Catholic family in Jersey City, who had a beloved younger brother survive bad childhood accidents only to contract cancer and die barely a man. Her story is about the bodies of young men who are injured and dying, the brother she temporarily abandons to pursue her dream, the parents and sister she lives far away from and finally returns to, and her emergence as a poet. It is a memoir about finally caring for the people who needed her most, and who she was only able to help because of the men all around the country who had taught her through their dying. She needed to leave home to come home. The title, Beautiful Unbroken, is a metaphor of balance gained when she finally releases, one by one, the dead she has carried.

Profile Image for Charlene.
411 reviews15 followers
August 21, 2011
Before I began this memoir, I thought it would either be boring or make me sick from all the details of nursing. It definitely wasn't boring. Although, there were some parts that left me queasy, but that was okay. Those moments helped me feel what she felt as a nurse. It made her journey more real for me.

This memoir was heartbreaking and inspiring, both as a human being and a writer. I appreciate her candor and honesty. It is difficult to admit wrong and faults, but it was necessary to her journey and increased self-awareness and self-recognition.

Thanks, Mary Jane Nealon, for sharing your journey with me.
Profile Image for Libby.
169 reviews6 followers
February 26, 2012
This book is life changing. A memoir of nurse Mary Jane Nealon's life and losses, it's also a memoir of transcendence and redemption, of how the celebration of the ordinary, precious moments of our lives can save us from despair, of how compassion can take us a long, long way, and of how words and language can heal. Deserves to be read and reread--lots of wisdom and love here.
Profile Image for Jacqueline.
69 reviews4 followers
August 6, 2012
I didn't enjoy this book as much as I thought I would. Perhaps I had expectations that were different than what Nealon was trying to get across. I thought the book was going to be about her life as a nurse and why the loss of her brother brought her there. Instead, she was fixated on her Laura Ashley dress, numerous meaningless relationships with an occasional nursing experience thrown in.
Profile Image for Catherine.
2,378 reviews26 followers
July 21, 2021
I’m torn between three and four stars on this one. The writing is beautiful. The story is generally interesting, yet there seems to be something lacking.

The author seemed to care more for the deaths of others than the people who should have mattered most - with the exception of her parents.

I felt bad for how she walked away from her long time boyfriend after his accident. She made it seem that he never really mattered to her, but people deal with trauma in different ways, so I don’t want to assume. She may have been shut down by seeing so much death.

I at times cried at the scenes she painted and at other times felt disconnected and wondered if I’d finish reading, but her writing is so beautiful, I continued on. It almost seemed like she needed counseling to reconcile her dream to be heroic and her pain at her brother’s death. At times the AIDS patients seemed to represent her idea of the tableau of what she wanted to be.

I loved the image she painted of the AIDS patient who wanted to hang stars for his family and loved that she helped him do it.

Quotes I liked: page 14 “My father wanted to show us everything that was beautiful. This was his act of love.”

Page 43 “I was changed forever. I never again touched the heads of small children without kneeling down in front of them; without understanding that their spiritual lives might be more advanced than
mine. . .”

Page 47 “She was a gentle woman who was able to make room around a poem and let people talk about it, but only if they could do so while continuing to respect where the poem had come from, to honor the impulse of making the poem.

Page 49 “In the states their grief was out of place . . . But here the goats could carry it over to the other side of the hill, the side facing the sun.”
38 reviews1 follower
February 28, 2024
beautiful unbroken word vomit

it was great, it was slow. but it was poetry. and honestly she was hitting on this idea that we're just poets that just happen to also be nurses. the order of our identity matters. and i want to be Jesus follower first then poet/artist then nurse ~ but i still really want to be a nurse. it's really interesting reading about how people find meaning in their lives apart from God. as a Christian it's all about glorifying God and yadda yadda so it's fascinating to see into the mind of my peers. although i disagree with a lot, i was reminded of how much love we want to receive and want to give.

i appreciate how raw and open mary jane nealon. especially the parts on cowardice and running away ...

the book was not something i originally would've read because i just wanted to know what nurses do but it was incredible in thinking about identity as a nurse and poet. so yeah some parts i was like O i didn't expect to read ocean vuong but it was beautiful nonetheless. my fav part was coming home to mother and coming home to father. it made me reflect on the time i have left with my parents ~ facing death is always a great pass time

i got a lot of great additions to my "to be a nurse is to ...." list. prolly bcuz the book is so poetic ya know. anyways cool book ~
Profile Image for Michele Hirsch.
39 reviews1 follower
August 24, 2019
I initially purchased this autobiography because the author and I attended the same small Catholic high school. Although we weren't close then, I hoped to see the school or mutual classmates mentioned. After reading all 212 pages, I can confirm that there is hardly a word about the four years we spent there.
Nevertheless, the time invested in reading this book was well worth it. It is rare that someone so thoroughly bares her soul as Mary Jane Nealon does. She describes her roles as a daughter, sister, nurse, poet, friend and lover. Within the contest of each role, she discusses her dreams and fears, losses and gains, as well as accomplishments and failings.
What was surprising to me is that even though our lives have taken very different paths, the honesty with which she approaches the challenges of her life resounded with me. I believe that it will probably do so with those of our generation who have lived through the loss of loved ones, made hard choices about their careers/family, seen the devastation of the AIDS epidemic, and the destruction of the twin towers during 9/11. By the time I finished reading, I felt Mary Jane had achieved a hard won grace!
Again, I came looking for one thing and found so much more!
Profile Image for Nicole.
1,186 reviews8 followers
June 19, 2020
A beautiful memoir that centers on the author's life as a poet and career as a nurse, the two of which exist intertwined. A career that started in the 1970's to the early 2000's, Nealon writes with a honesty that easily conveys her dedication to the forgotten patient, be it homeless men, those stricken with AIDS in the late 1980's, or the Navajo on a New Mexico reservation. Her primary medium is poetry and this is evident in her writing which is melodious and soothing, raw in places but never couched. I felt privileged to read this work of nonfiction as it is a bearing of one's soul and Nealon allows the reader into her thoughts, her dreams, her losses and her convictions. There is such wonder in her words as she challenges herself to adapt to her limitations but yet recognizes she is, like all of us, a flawed individual who must live with their choices and make the most out of the life that is given us. This work would appeal to not only those interested in the field of nursing but also anyone hoping to savor the joy of reading a powerfully intimate work of self-reflection.
Profile Image for Ellen.
335 reviews
December 8, 2019
A nurse shares her struggle with dealing with the death of her brother and how she deals with the emotional distress of caring for her patients. She was a nurse in the mid 80's when the AIDS epidemic was taking its dreadful toll. She is able to get some peace by being present with her mother and father at the end of their lives. Beautifully written, can relate how as a nurse and a nurse practitioner can be incredibly difficult and yet make a huge difference in the lives of others. On the other side of it, not having the ability to separate or over-identifying can definitely lead to ineffective coping and strained relationships with those we love the most.
719 reviews
October 11, 2018
What to say' it wasn't a light and entertaining book, it was much heavier than that. It felt like it weighed me down in a dark cloud. It was not a hard read but I felt the author was all alone in the world even with her family and friends.
Profile Image for Donna Clay.
202 reviews2 followers
July 8, 2023
A memoir, packed full of compassion, written by a nurse - her aching loss of her brother and her subsequent years of caring, giving and losing. To many poor, to those with AIDS - and then her parents. Well written and sensitive to those who care for the diseased and dying.
2 reviews
September 12, 2017
I LOVED the beautiful story of sharing intimately in the lives as people are fearful and suffering. Inside story of the first people suffering from our Aids epidemic
330 reviews
August 29, 2020
Pretty disjointed, and I feel sorry for not being more of a poet after reading this. Had a lot of potential which I didn't feel it fulfilled.
Profile Image for Joseph Colicchio.
4 reviews
March 13, 2022
Tender and heartrending.The story of one one woman’s rich journey through nursing and life.
Profile Image for Serena Lindsey.
53 reviews1 follower
October 23, 2024
Really good, superrrrr honest, I don’t think I’d be brave enough, but Nealon and writing is obviously a special relationship, I look forward to writing my paper and reflecting on it more
170 reviews8 followers
July 23, 2020
very effective writing. while I do not agree with a lot of the author's ideas and beliefs, I have a lot of respect for what she went through and her work in NYC during the AIDS epidemic of the late eighties. Certainly opened my eyes
Profile Image for Irene.
131 reviews10 followers
September 12, 2011
I recieved a copy of this book from the Goodreads First-Reads program.

So, the book came in the mail a few days ago (woo-hoo!). In the package was a letter from the publisher thanking me in advance for reading and reviewing the book (which always comes with First-Reads books), a postcard endorsing a book of poetry also published by the Graywolf Press publishing company (not an uncommon addition to a First-Reads package), a brochure of some blurbs and reviews of recent books published by Graywolf Press (a bit forward of them, but if Beautiful Unbroken is good, I might just check out a couple of the books listed), and finally, a temporary tattoo (unheard of!) that labels the wearer in bold, block letters above the Graywolf Press logo as an "Insensitive Bastard".

Ex-cuse me?!? Did I just read that tattoo right?

Turns out The Heyday of the Insensitive Bastards is a collection of short stories published by Graywolf Press, but I didn't know that until I looked it up on the internet. That has to be the weirdest gift I've ever recieved. Somehow I don't see myself wearing that on my arm, or, better, on my forehead, anytime soon.

Review to come, once I read the book.

---------------------------------------------------

I really enjoyed this book. One of the pros to reading a proof by a published poet is that 1) they don't make typos much, if at all, and 2) the words are already beautiful as is and an editor is basically not needed to make the story any clearer or more elegant. Nealon is already an accomplished poet, but this memoir proves that she is just as competent in writing prose. The story flowed well, with twists and turns and a lot of internal conflict. I didn't give it five stars because it doesn't quite have that extra oomph to make me want to read it over and over, but it deserves at least a 4.5. Anyone who gives this a 5 star rating, I can definitely see why, and this book probably deserves it. Excellent job, Nealon! People, if you have any connection to the chronically ill, deceased family members, AIDS, nursing, NYC, even just hospitals in general, this is a great choice.
Profile Image for Jess B.
122 reviews1 follower
February 13, 2014
I wrote out a review and my computer deleted it. So here goes for a second time.

The book itself was written okay; not really my "style" (lots of similes and metaphors which seemed to serve no other purpose then to make the writing fancier). As a nurse (who deals with a lot of dying patients - I work in a high acuity ICU), I had issues with how she described her relationship to her patients, and that really spoiled the book for me. She deals with the death of her brother (and her response to his death) with her work; she deals with her grief from both of them in her relationships with her significant others. I don't fault her for watching the slide show with her dying patient's family on her lunch break; sometimes (not often) doing something like that can be part of the humanity of nursing (though I don't think doing something like that is essential for any and all nurses). But she seemed to lack emotional boundaries. There seemed to be a lot of counter-transference going on. To last as a nurse, you need to find a way to somehow leave your work at work and not let the stress of it pour into everything else you do, and you need to find a way to leave your personal life at home, and not let all your personal woes pour into what you do for 8 or 12 hours. Yes, one affects the other, but you need some sort of boundaries to stay sane. In the end, I got the impression that part of why she left nursing wasn't just because she wanted to be a writer, but also because she wanted an escape from nursing, because in some degree she had burnt out. I will give her a good bit of credit for making the transition from one to the other, instead off trying to tough it out as a nurse until retirement, getting more and more bitter.
Profile Image for Mmars.
525 reviews119 followers
March 2, 2012
Nealon has done what poets do. She has turned what could have been an ordinary life into something extraordinary. She obseves and intuits. She is sensory. Her sense is touch. Fearless touch. Absolutely fearless.

This is a beautifully written book. I kept thinking she was going to blow it. That she would make memoirist mistakes - conceit, ego, exaggeration, tell-tale signs of faulty memory, etc. Or that she would have a great religious awakening or something like that. And for a page or two I was worried that it would become another 9/11 diatribe.

But no, true to the cover, she floats on the river of life. Face up. Amazing woman.
2,310 reviews22 followers
June 29, 2013
Growing up, Mary Jane always knew she wanted to be a nurse. She devoured stories and biographies of nurses, and later as a young woman she entered nursing school. During her studies, her young brother was diagnosed with cancer. His subsequent death left her bereft, and she dealt with her sorrow by immersing herself in her work and writing poetry. As a graduated Registered Nurse she spent years traveling from one locale to another, working from an agency and providing care where she was assigned. In her later years she nursed men in a homeless shelter in the Bowery in NYC and worked in the city's first AIDS wards. This is her examination of her life.
Profile Image for Sheri S..
1,632 reviews
November 15, 2016
Beautiful Unbroken is more than just the story of a nurse's life, it is a story about understanding and accepting death in a respectful manner. It is about embracing and accepting the life of a human on the cusp of entering eternity. Nealon writes about how the death of her brother shaped her life and how her experience working with the dying (particularly those dying of cancer and HIV/AIDS) impacted her life's journey. Nealon's ability to depict her feelings through carefully chosen words is evident throughout this book. She acknowledges her pain and chooses, through poetry and new experiences, to let go of that pain and begin each day anew.
19 reviews
April 26, 2012
NOt nearly finished reading this book but I kind of don't want it to end. It has been that kind of experience. It's past time for a nurse to share her experiences...
As nurse, who also grew up in Jersey City ("The heights"), not downtown, I recall the outbreak of AIDS. At the time, I was working in Hoboken so we were seeing alot of it. It was a scary time for health care workers, and the public. It altered health"care" as we knew it. When was the last time, you were examined by a practitioner not wearing gloves?
The prose is beautiful. its just a heart warming book.
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