Alumni News & Notes | ESSAY Living with Purpose Following the death of his daughter, Michigan alumnus and professor Victor Strecher emerged from his grief to find a new purpose in life. He shares that experience now with others. By Victor J. Strecher, MPH’80, PhD’83 March 2, 2014. Montego Bay, Jamaica. 40 ILLUSTRATIONS BY KODY CHAMBERLAIN I’m sipping a Red Stripe beer on the veranda of a cottage overlooking impossibly blue and green shades of the Caribbean. The temperature is perfect. Really. Perfect. Roughly 100 degrees warmer than the ice planet Hoth that we call Ann Arbor. I’m on the University’s winter break, recharging my batteries for the second half of the semester and very grateful to be here. Today is also the fourth anniversary of my 19-year-old daughter’s death from a rare heart condition. Julia was born healthy but at 9 months caught a virus (probably chicken pox) that attacked her heart. At 14 months, she received a heart transplant—at that time, a procedure performed on only a handful of children. While Julia lived a difficult early life in and out of hospitals, she also went through school with great friends, played on a softball team, ate ice cream, had sleepovers, and read a lot of books. At age 9, Julia started getting really sick again, and one night, while at U-M’s C.S. Mott Children’s Hospital, she suffered a series of six heart attacks. Through four hours of continual resuscitation, Mott clinicians revived her and somehow managed to coax 10 more years out of her battered body. Julia read more books, wrote poetry, drew, painted, traveled around the world, had more great friends and two wonderful boyfriends, and attended nursing school at the University. (As an aside, if you are considering the destination of your hard-earned fortune, you could do no better than to bequeath all of it to the heroes at Mott.) On the last night of her life, a beautiful evening in the Caribbean, she turned to her boyfriend and said, “I’m so happy, I could die now.” That night, her heart unexpectedly quit and she passed away in her sleep. The illustrations on these two pages are from “On Purpose,” the book Victor Strecher wrote following Julia’s death. TWO THOUSAND YEARS AGO, a Roman woman named Marcia wrote a letter to a friend, the Stoic philosopher Seneca, conveying the unabated grief she felt at the three-year anniversary of her son’s death. She said that he had died too soon. Seneca wrote back, “Imagine in the first place that he had survived—assign to him as many years in a long life that a man may have: how many after all, do they comprise? Brought into the world for the briefest of spans, and destined shortly to give up our place to the next person who comes.” Michigan Alumnus | Summer 2014 | umalumni.com Apple co-founder Steve Jobs must have read Seneca. Knowing he would die before his time, Jobs stated in his 2005 commencement address at Stanford University: “Death is very likely the single best invention of life. It is life’s change agent. It clears out the old to make way for the new. Right now the new is you, but someday not too long from now, you will gradually become the old and be cleared away.” Before my life with Julia, my attention was focused on writing scientific journal articles and winning research grants. ESSAY | Awards. Tenure. As we gave Julia a life worth living, the totems of academic success suddenly failed to hold the same meaning—not because they were unimportant. In fact, they became more important in the sense that my research became more than a means to promotion and job security. My teaching meant more than student evaluations. The tenuous nature of Julia’s life reminded me of the finite years in my own life and became my change agent. In the months after her death, I spent most of my time in northern Michigan. Lake Michigan, with its beauty and expanse of water, was a comfort. One morning, I woke up from a profound dream that involved Julia. It was 5:15 a.m. as I looked out on Lake Michigan. It was like glass. I took my kayak about a mile out on the gentle smoothness of the lake, far from any sound. Watching the sun grow over the horizon, the water started glowing. I felt Julia in me, telling my heart that I needed to “get over it.” “Get over it” not in the sense of getting the loss behind me, but in the sense of getting over my ego—of finding a new, transcending purpose in my life. Recent epidemiologic research finds that older adults with a strong purpose in their lives are, seven years later, 2.4 times less likely to develop Alzheimer’s disease than those with a weak purpose. Purpose in life also predicts lower risk of heart attack and stroke. Research I’ve been conducting with my colleague Eric Kim suggests that purpose in life may help us sleep better and have a lower likelihood of obesity four years later. In another recent study, 2009 Nobel laureate Elizabeth Blackburn and her colleagues found that increasing purpose in life was associated with greater activation of telomerase, an enzyme that helps keep our chromosomes intact. Chances are, you haven’t heard of these studies. Neither the National Institutes of Health nor the media have paid much attention. But what if we discovered a drug with the same effects, one that reduced the risk of Alzheimer’s disease, heart attack, stroke, and obesity, and kept your chromosomes intact—a drug without three pages of side effects that didn’t cost $1 million a year? They’d be putting it in our drinking water. Medical science may soon extend our life span to beyond the century mark, but will we have a more fulfilled life or just a longer one? Will we spend even more years watching what the Kardashian sisters are doing or the latest Miley Cyrus twerking videos? Will we fritter away most of our time asleep? Or will we live our lives with purpose? The Stoic philosopher and Roman Emperor Marcus Aurelius said, “Do not act as if you were going to live 10,000 years. Death hangs over you.” He then added, “While you live, while it is in your power, be good.” This last phrase is key. In a study of graduating college Alumni News & Notes students, researchers found that graduates who placed importance upon close relationships, community involvement, and personal growth were, after two years, more likely to have achieved these goals and to have greater well-being, whereas graduates who aspired to money, fame, and appearance were, after two years, more likely to have achieved these goals but had greater ill-being. One of the classic books addressing these issues is Viktor Frankl’s “Man’s Search for Meaning.” Frankl vividly describes his ordeal of being a prisoner in three Nazi concentration camps, stating, “Woe to him who saw no more sense in his life, no aim, no purpose … he was soon lost.” The book powerfully weaves together his personal experiences with existential philosophy with a psychotherapeutic approach he called logotherapy—“meaning therapy.” A book I recently created, “On Purpose,” attempts a post-modern method of communicating Frankl’s message. The book is written as a graphic novel, which may be described as a self-help guide, college lecture, confessional, and time-travel adventure all rolled into one. Extending the core messages of logotherapy to the masses, I’ve created a free app for the Web, iPhone, and most smartphones that helps people identify their purpose in life and examine their alignment with that purpose every day. I wrote “On Purpose” as a tribute to my daughter, but of course it doesn’t remove the pain. This evening, I walked alone on the beach and had a good sob. The loss of Julia has left a hole that will never be filled. And I won’t try to fill it—I’ve learned that I can survive this loss, and in some ways even thrive, when I direct my attention to a purpose in life bigger than myself. Every morning, I follow the strange Stoic practice of contemplating my death for that day. Can you say, “I’m so happy, I could die now?” Julia could. I can. Especially today. This was Julia’s gift to me. The tenuous nature of Julia’s life reminded me of the finite years in my own life and became my change agent. Victor J. Strecher, MPH’80, PhD’83, is a professor and director for innovation and social entrepreneurship at the U-M School of Public Health. He has devoted much of his professional life to the study of the science and psychology of healthy personal change for individuals and large populations. His recent book and free app, both titled “On Purpose,” can be found at www.dungbeetle.org or through Amazon and iTunes. Michigan Alumnus | Summer 2014 | umalumni.com 41