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Everything in Its Place

First Loves and Last Tales

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On sale Mar 31, 2020 | 288 Pages | 978-1-101-97232-8
From the legendary author of The Man Who Mistook His Wife for a Hat: a volume of essays on everything from primordial life and the mysteries of the brain to the ancient ginkgo and the power of the written word. 

"Magical . . . [Everything in Its Place] showcases the neurologist's infinitely curious mind."—People Magazine

In this volume, Oliver Sacks examines the many passions that defined his life--both as a doctor engaged with the central questions of human existence and as a polymath conversant in all the sciences. Everything in Its Place brings together writings on a rich variety of topics. Why do humans need gardens? How, and when, does a physician tell his patient she has Alzheimer's? What is social media doing to our brains? In several of the compassionate case histories included here, we see Sacks consider the enigmas of depression, psychosis, and schizophrenia for the first time. In others, he returns to conditions that have long fascinated him: Tourette's syndrome, aging, dementia, and hallucinations. In counterpoint to these elegant investigations of what makes us human, this volume also includes pieces that celebrate Sacks's love of the natural world--and his final meditations on life in the twenty-first century.
“Wonderfully odd . . . Life bursts through all of Oliver Sacks’s writing. He was and will remain a brilliant singularity. It’s hard to call to mind one dull passage in his work—one dull sentence, for that matter . . .”—Daniel Menaker, The New York Times Book Review

"Magical . . . [Everything in Its Place] showcases the neurologist's infinitely curious mind."—People Magazine

“Extraordinarily touching—not lacking in his habitual energy and driven curiosity, but somehow vulnerable, even fragile . . . [He was] an unusual boy, one who had, as he puts it, an “overwhelming sense of Truth and Beauty” . . . and it becomes increasingly clear that Sacks was that boy to the very end of his days, engaging, eagerly and with a never-ending sense of wonder, not only with science but with its history and the people who made it . . . Our best chance for the future, we may feel, is that there may be others among us like this uncommon, passionate, and enlightened man . . .”Simon Callow, The New York Review of Books

“Eclectic and satisfying . . . Informative and engaging . . . Sacks writes with his characteristic compassion and attention to detail. . . This final posthumous collection provides one last peek into the author’s generous, curious, and brilliant mind.”—Library Journal

“Sacks further secures his legacy with this most recent collection of his work . . . The Shakespeare of science writing might suffice, but Sacks ultimately defies comparison to bygone or even contemporary authors. As readers we can rejoice that, while cancer may have claimed his body, his voice continues to ring out.”—The Scientist

"Everything in Its Place
is a wondrous read in its entirety, irradiating Sacks’s kaleidoscopic curiosity across subjects. . .”—Maria Popova, Brain Pickings

“A fitting coda to an exemplary literary and medical career, displaying the essential humanity and spaciousness of mind that his readers have long come to expect . . . with a voice, breadth of curiosity and kinship with life all his own . . . passionate . . . [and] engrossing . . . [Sacks] will be keenly missed, not only for the elegance and potency of his writing, but for his critically important championing of science in an age of science denial . . . Warm, edifying, highly personal essays.”—The Charleston Post and Courier

“If you are not already familiar with the writing of Oliver Sacks, this volume is a lovely way to acquaint yourself with it . . . Sacks is a humanist author, one who has an amazing capacity to inspire awe and reawaken the reader to the beauty of the smallest and often most unforgotten, disenfranchised aspects of life on earth. Above all, his greatest strength is how he skillfully allows the non-specialist to deeply delve into the field of neurological study. He is an author with a sense of constant questioning and bewilderment at the complexity of human existence. His writing is beautifully crafted and profound.”—New York Journal of Books

“It’s not hard to see why Oliver Sacks captivated the world . . . Without waiting for the evidence to come in, you know that a better book of essays—one that is funnier and sneakier and more grave—will certainly not be published this year.”The Saturday Paper

“A postscript to a brilliant career . . . full of curiosity and awe . . . Whether discussing botany or the intricacies of the brain, Sacks writes with the natural candor and wisdom of a great teacher. Everything in Its Place is his thoroughly illuminating last word. He will be missed.”—Shelf Awareness

“As polished and as intimately voiced—the author seems our bosom friend far more than an ‘authority’—as Sacks is at his best . . . each [chapter] is impossible to put down unfinished . . . Anglo-American literature has boasted an astonishing number of excellent writing physicians and scientists. Consider Oliver Sacks their dean.”—Booklist [starred]

“In this lovely collection of previously unpublished essays, the late, celebrated author and neurologist muses on his career, his youth, the mental health field and much more. . . Sacks’s gentle, ruminative voice is a salve when investigating difficult subject matter but there are plenty of lighter moments as well. . . [this] final collection is a treat for the chronically curious.”—Publisher’s Weekly

“A reminder of the breadth of his professional expertise and the depth of his personal passions . . . all the essays collected here are a fitting valedictory to Oliver Sacks’ fascinating life.”—BookPage

“[Oliver Sacks] never fails to captivate me even if they are far from my own passions . . . If you love fascinating tidbits, this book of uncollected or previously unpublished essays is for you . . .”—The Minneapolis Star Tribune
© Adam Scourfield
Dr. Oliver Sacks spent more than fifty years working as a neurologist and writing books about the neurological predicaments and conditions of his patients, including The Man Who Mistook His Wife for a Hat, Musicophilia, and Hallucinations. The New York Times referred to him as "the poet laureate of medicine," and over the years he received many awards, including honors from the Guggenheim Foundation, the National Science Foundation, the American Academy of Arts and Letters, the American Academy of Arts & Sciences, and the Royal College of Physicians. His memoir On the Move was published shortly before his death in August 2015. View titles by Oliver Sacks
Water Babies


We were all water babies, my three brothers and I. Our father, who was a swimming champ (he won the fifteen-mile race off the Isle of Wight three years in succession) and loved swimming more than anything else, introduced each of us to the water when we were scarcely a week old. Swimming is instinctive at this age, so, for better or worse, we never “learned” to swim.

I was reminded of this when I visited the Caroline Islands, in Micronesia, where I saw even toddlers diving fearlessly into the lagoons and swimming, typically, with a sort of dog paddle. Everyone there swims, nobody is “unable” to swim, and the islanders’ swimming skills are superb. Magellan and other navigators reaching Micronesia in the sixteenth century were astounded at such skills and, seeing the islanders swim and dive, bounding from wave to wave, could not help comparing them to dolphins. The children, in particular, were so at home in the water that they appeared, in the words of one explorer, “more like fish than human beings.” (It was from the Pacific Islanders that, early in the twentieth century, we Westerners learned the crawl, the beautiful, powerful ocean stroke that they had perfected—so much better, so much more fitted to the human form than the froglike breaststroke chiefly used until that time.)

For myself, I have no memory of being taught to swim; I learned my strokes, I think, by swimming with my father—though the slow, measured, mile-eating stroke he had (he was a powerful man who weighed nearly eighteen stone) was not entirely suited to a little boy. But I could see how my old man, huge and cumbersome on land, became transformed—graceful, like a porpoise—in the water; and I, self-conscious, nervous, and also rather clumsy, found the same delicious transformation in myself, found a new being, a new mode of being, in the water. I have a vivid memory of a summer holiday at the seaside in England the month after my fifth birthday, when I ran into my parents’ room and tugged at the great whalelike bulk of my father. “Come on, Dad!” I said. “Let’s come for a swim.” He turned over slowly and opened one eye. “What do you mean, waking an old man of forty-three like this at six in the morning?” Now that my father is dead, and I am almost twice the age he was then, this memory of so long ago tugs at me, makes me equally want to laugh and cry.

Adolescence was a bad time. I developed a strange skin disease: “erythema annulare centrifugum,” said one expert; “erythema gyratum perstans,” said another—fine, rolling, orotund words, but neither of the experts could do anything, and I was covered in weeping sores. Looking, or at least feeling, like a leper, I dared not strip at a beach or pool, and could only occasionally, if I was lucky, find a remote lake or tarn.

At Oxford, my skin suddenly cleared, and the sense of relief was so intense that I wanted to swim nude, to feel the water streaming over every part of me without hindrance. Sometimes I would go swimming at Parson’s Pleasure, a bend of the Cherwell, a preserve since the 1680s or earlier for nude bathing, and peopled, one felt, by the ghosts of Swinburne and Clough. On summer afternoons, I would take a punt on the Cherwell, find a secluded place to moor it, and then swim lazily for the rest of the day. Sometimes at night I would go for long runs on the towpath by the Isis, past Iffley Lock, far beyond the confines of the city. And then I would dive in and swim in the river, till it and I seemed to flow together, become one.

Swimming became a dominant passion at Oxford, and after this there was no going back. When I came to New York, in the mid-1960s, I started to swim at Orchard Beach in the Bronx, and would sometimes make the circuit of City Island—a swim that took me several hours. This, indeed, is how I found the house I lived in for twenty years: I had stopped about halfway around to look at a charming gazebo by the water’s edge, got out and strolled up the street, saw a little red house for sale, was shown round it (still dripping) by the puzzled owners, walked along to the real estate agent and convinced her of my interest (she was not used to customers in swim trunks), reentered the water on the other side of the island, and swam back to Orchard Beach, having acquired a house in midswim.

I tended to swim outside—I was hardier then—from April through November, but would swim at the local Y in the winter. In 1976–77, I was named Top Distance Swimmer at the Mount Vernon Y, in Westchester: I swam five hundred lengths—six miles—in the contest and would have continued, but the judges said, “Enough! Please go home.” One might think that five hundred lengths would be monotonous, boring, but I have never found swimming monotonous or boring. Swimming gave me a sort of joy, a sense of well-being so extreme that it became at times a sort of ecstasy. There was a total engagement in the act of swimming, in each stroke, and at the same time the mind could float free, become spellbound, in a state like a trance. I never knew anything so powerfully, so healthily euphoriant—and I was addicted to it, am still addicted, fretful when I cannot swim.

Duns Scotus, in the thirteenth century, spoke of “condelectari sibi,” the will finding delight in its own exercise; and Mihaly Csikszentmihalyi, in our own time, speaks about “flow.” There is an essential rightness about swimming, as about all such flowing and, so to speak, musical activities. And then there is the wonder of buoyancy, of being suspended in this thick, transparent medium that supports and embraces us. One can move in water, play with it, in a way that has no analogue in the air. One can explore its dynamics, its flow, this way and that; one can move one’s hands like propellers or direct them like little rudders; one can become a little hydroplane or submarine, investigating the physics of flow with one’s own body.

And, beyond this, there is all the symbolism of swimming—its imaginative resonances, its mythic potentials.

My father called swimming “the elixir of life,” and certainly it seemed to be so for him: he swam daily, slowing down only slightly with time, until the grand age of ninety-four. I hope I can follow him, and swim till I die.

About

From the legendary author of The Man Who Mistook His Wife for a Hat: a volume of essays on everything from primordial life and the mysteries of the brain to the ancient ginkgo and the power of the written word. 

"Magical . . . [Everything in Its Place] showcases the neurologist's infinitely curious mind."—People Magazine

In this volume, Oliver Sacks examines the many passions that defined his life--both as a doctor engaged with the central questions of human existence and as a polymath conversant in all the sciences. Everything in Its Place brings together writings on a rich variety of topics. Why do humans need gardens? How, and when, does a physician tell his patient she has Alzheimer's? What is social media doing to our brains? In several of the compassionate case histories included here, we see Sacks consider the enigmas of depression, psychosis, and schizophrenia for the first time. In others, he returns to conditions that have long fascinated him: Tourette's syndrome, aging, dementia, and hallucinations. In counterpoint to these elegant investigations of what makes us human, this volume also includes pieces that celebrate Sacks's love of the natural world--and his final meditations on life in the twenty-first century.

Praise

“Wonderfully odd . . . Life bursts through all of Oliver Sacks’s writing. He was and will remain a brilliant singularity. It’s hard to call to mind one dull passage in his work—one dull sentence, for that matter . . .”—Daniel Menaker, The New York Times Book Review

"Magical . . . [Everything in Its Place] showcases the neurologist's infinitely curious mind."—People Magazine

“Extraordinarily touching—not lacking in his habitual energy and driven curiosity, but somehow vulnerable, even fragile . . . [He was] an unusual boy, one who had, as he puts it, an “overwhelming sense of Truth and Beauty” . . . and it becomes increasingly clear that Sacks was that boy to the very end of his days, engaging, eagerly and with a never-ending sense of wonder, not only with science but with its history and the people who made it . . . Our best chance for the future, we may feel, is that there may be others among us like this uncommon, passionate, and enlightened man . . .”Simon Callow, The New York Review of Books

“Eclectic and satisfying . . . Informative and engaging . . . Sacks writes with his characteristic compassion and attention to detail. . . This final posthumous collection provides one last peek into the author’s generous, curious, and brilliant mind.”—Library Journal

“Sacks further secures his legacy with this most recent collection of his work . . . The Shakespeare of science writing might suffice, but Sacks ultimately defies comparison to bygone or even contemporary authors. As readers we can rejoice that, while cancer may have claimed his body, his voice continues to ring out.”—The Scientist

"Everything in Its Place
is a wondrous read in its entirety, irradiating Sacks’s kaleidoscopic curiosity across subjects. . .”—Maria Popova, Brain Pickings

“A fitting coda to an exemplary literary and medical career, displaying the essential humanity and spaciousness of mind that his readers have long come to expect . . . with a voice, breadth of curiosity and kinship with life all his own . . . passionate . . . [and] engrossing . . . [Sacks] will be keenly missed, not only for the elegance and potency of his writing, but for his critically important championing of science in an age of science denial . . . Warm, edifying, highly personal essays.”—The Charleston Post and Courier

“If you are not already familiar with the writing of Oliver Sacks, this volume is a lovely way to acquaint yourself with it . . . Sacks is a humanist author, one who has an amazing capacity to inspire awe and reawaken the reader to the beauty of the smallest and often most unforgotten, disenfranchised aspects of life on earth. Above all, his greatest strength is how he skillfully allows the non-specialist to deeply delve into the field of neurological study. He is an author with a sense of constant questioning and bewilderment at the complexity of human existence. His writing is beautifully crafted and profound.”—New York Journal of Books

“It’s not hard to see why Oliver Sacks captivated the world . . . Without waiting for the evidence to come in, you know that a better book of essays—one that is funnier and sneakier and more grave—will certainly not be published this year.”The Saturday Paper

“A postscript to a brilliant career . . . full of curiosity and awe . . . Whether discussing botany or the intricacies of the brain, Sacks writes with the natural candor and wisdom of a great teacher. Everything in Its Place is his thoroughly illuminating last word. He will be missed.”—Shelf Awareness

“As polished and as intimately voiced—the author seems our bosom friend far more than an ‘authority’—as Sacks is at his best . . . each [chapter] is impossible to put down unfinished . . . Anglo-American literature has boasted an astonishing number of excellent writing physicians and scientists. Consider Oliver Sacks their dean.”—Booklist [starred]

“In this lovely collection of previously unpublished essays, the late, celebrated author and neurologist muses on his career, his youth, the mental health field and much more. . . Sacks’s gentle, ruminative voice is a salve when investigating difficult subject matter but there are plenty of lighter moments as well. . . [this] final collection is a treat for the chronically curious.”—Publisher’s Weekly

“A reminder of the breadth of his professional expertise and the depth of his personal passions . . . all the essays collected here are a fitting valedictory to Oliver Sacks’ fascinating life.”—BookPage

“[Oliver Sacks] never fails to captivate me even if they are far from my own passions . . . If you love fascinating tidbits, this book of uncollected or previously unpublished essays is for you . . .”—The Minneapolis Star Tribune

Author

© Adam Scourfield
Dr. Oliver Sacks spent more than fifty years working as a neurologist and writing books about the neurological predicaments and conditions of his patients, including The Man Who Mistook His Wife for a Hat, Musicophilia, and Hallucinations. The New York Times referred to him as "the poet laureate of medicine," and over the years he received many awards, including honors from the Guggenheim Foundation, the National Science Foundation, the American Academy of Arts and Letters, the American Academy of Arts & Sciences, and the Royal College of Physicians. His memoir On the Move was published shortly before his death in August 2015. View titles by Oliver Sacks

Excerpt

Water Babies


We were all water babies, my three brothers and I. Our father, who was a swimming champ (he won the fifteen-mile race off the Isle of Wight three years in succession) and loved swimming more than anything else, introduced each of us to the water when we were scarcely a week old. Swimming is instinctive at this age, so, for better or worse, we never “learned” to swim.

I was reminded of this when I visited the Caroline Islands, in Micronesia, where I saw even toddlers diving fearlessly into the lagoons and swimming, typically, with a sort of dog paddle. Everyone there swims, nobody is “unable” to swim, and the islanders’ swimming skills are superb. Magellan and other navigators reaching Micronesia in the sixteenth century were astounded at such skills and, seeing the islanders swim and dive, bounding from wave to wave, could not help comparing them to dolphins. The children, in particular, were so at home in the water that they appeared, in the words of one explorer, “more like fish than human beings.” (It was from the Pacific Islanders that, early in the twentieth century, we Westerners learned the crawl, the beautiful, powerful ocean stroke that they had perfected—so much better, so much more fitted to the human form than the froglike breaststroke chiefly used until that time.)

For myself, I have no memory of being taught to swim; I learned my strokes, I think, by swimming with my father—though the slow, measured, mile-eating stroke he had (he was a powerful man who weighed nearly eighteen stone) was not entirely suited to a little boy. But I could see how my old man, huge and cumbersome on land, became transformed—graceful, like a porpoise—in the water; and I, self-conscious, nervous, and also rather clumsy, found the same delicious transformation in myself, found a new being, a new mode of being, in the water. I have a vivid memory of a summer holiday at the seaside in England the month after my fifth birthday, when I ran into my parents’ room and tugged at the great whalelike bulk of my father. “Come on, Dad!” I said. “Let’s come for a swim.” He turned over slowly and opened one eye. “What do you mean, waking an old man of forty-three like this at six in the morning?” Now that my father is dead, and I am almost twice the age he was then, this memory of so long ago tugs at me, makes me equally want to laugh and cry.

Adolescence was a bad time. I developed a strange skin disease: “erythema annulare centrifugum,” said one expert; “erythema gyratum perstans,” said another—fine, rolling, orotund words, but neither of the experts could do anything, and I was covered in weeping sores. Looking, or at least feeling, like a leper, I dared not strip at a beach or pool, and could only occasionally, if I was lucky, find a remote lake or tarn.

At Oxford, my skin suddenly cleared, and the sense of relief was so intense that I wanted to swim nude, to feel the water streaming over every part of me without hindrance. Sometimes I would go swimming at Parson’s Pleasure, a bend of the Cherwell, a preserve since the 1680s or earlier for nude bathing, and peopled, one felt, by the ghosts of Swinburne and Clough. On summer afternoons, I would take a punt on the Cherwell, find a secluded place to moor it, and then swim lazily for the rest of the day. Sometimes at night I would go for long runs on the towpath by the Isis, past Iffley Lock, far beyond the confines of the city. And then I would dive in and swim in the river, till it and I seemed to flow together, become one.

Swimming became a dominant passion at Oxford, and after this there was no going back. When I came to New York, in the mid-1960s, I started to swim at Orchard Beach in the Bronx, and would sometimes make the circuit of City Island—a swim that took me several hours. This, indeed, is how I found the house I lived in for twenty years: I had stopped about halfway around to look at a charming gazebo by the water’s edge, got out and strolled up the street, saw a little red house for sale, was shown round it (still dripping) by the puzzled owners, walked along to the real estate agent and convinced her of my interest (she was not used to customers in swim trunks), reentered the water on the other side of the island, and swam back to Orchard Beach, having acquired a house in midswim.

I tended to swim outside—I was hardier then—from April through November, but would swim at the local Y in the winter. In 1976–77, I was named Top Distance Swimmer at the Mount Vernon Y, in Westchester: I swam five hundred lengths—six miles—in the contest and would have continued, but the judges said, “Enough! Please go home.” One might think that five hundred lengths would be monotonous, boring, but I have never found swimming monotonous or boring. Swimming gave me a sort of joy, a sense of well-being so extreme that it became at times a sort of ecstasy. There was a total engagement in the act of swimming, in each stroke, and at the same time the mind could float free, become spellbound, in a state like a trance. I never knew anything so powerfully, so healthily euphoriant—and I was addicted to it, am still addicted, fretful when I cannot swim.

Duns Scotus, in the thirteenth century, spoke of “condelectari sibi,” the will finding delight in its own exercise; and Mihaly Csikszentmihalyi, in our own time, speaks about “flow.” There is an essential rightness about swimming, as about all such flowing and, so to speak, musical activities. And then there is the wonder of buoyancy, of being suspended in this thick, transparent medium that supports and embraces us. One can move in water, play with it, in a way that has no analogue in the air. One can explore its dynamics, its flow, this way and that; one can move one’s hands like propellers or direct them like little rudders; one can become a little hydroplane or submarine, investigating the physics of flow with one’s own body.

And, beyond this, there is all the symbolism of swimming—its imaginative resonances, its mythic potentials.

My father called swimming “the elixir of life,” and certainly it seemed to be so for him: he swam daily, slowing down only slightly with time, until the grand age of ninety-four. I hope I can follow him, and swim till I die.