28 August 29 • 2019 jn 28 August 29 • 2019 jn B efore Andrew Grossman, 45, of Southfield underwent gastric bypass surgery, he had to overcome a whole host of health, environ- mental and lifestyle challenges. For one, as a 41-year-old, he was close to 400 pounds, had high blood pressure, Type 2 diabe- tes and was coping with a MRSA infection, all while running the Bread Basket Deli restaurant in Madison Heights. Then he had a heart attack. For him, it was the final wakeup call he needed to make a change in his life. “I was on a mission,” he said. “I had to lose weight.” Grossman, who is Jewish, was already enrolled in Beaumont Weight Control Center’ s bariatric surgery preparation program. He didn’ t allow the heart attack to shelve his surgery plans forever. Two years ago, he underwent gastric bypass sur- gery, a procedure that shrinks the size of the stom- ach to the size of a golf ball and gives it the capaci- ty to accommodate about four ounces of food. “When I first started (the surgery preparation program), I was 380 pounds and I’ m now at 260 to 270 pounds,” he said. “I went from a 54-inch size waist to a 36-inch waist.” He said the surgery required him to be in the Intensive Care Unit for five days and that recovery, all told, took about two weeks. “I didn’ t have a bad surgery,” he said. “I had a little bit of soreness. I still had hunger, but it wasn’ t over-the-top hunger.” For Grossman, more than anything else, he had to change his environment and how he thought about food. He took a year off from running his restaurant to avoid the abundance of food and the amount of pop he was used to drinking. He stopped going to fast-food restaurants and stopped eating fried foods. “I was just living to eat, not eating to live,” he said. “I was totally doing it backwards. The hardest part is figuring out what to eat. Instead of buying candy, I now eat quinoa. It’ s a lifestyle change.” Not only has Grossman lost weight, he has reversed his high blood pressure, no longer takes insulin to control his diabetes and no longer experiences back or knee pain. In fact, his wife, Donyella, joined him on his weight-loss journey and has lost about 40 pounds herself, following his diet changes. Kerstyn Zalesin, M.D., director of Bariatric Medicine at Beaumont Weight Control Center, said gastric bypass surgery is appropriate for people who have more than 100 pounds to lose and, like Grossman, have “perilous” comorbidities like high blood pressure, diabetes or a heart condition. “Andrew is a very typical candidate for gastric bypass surgery,” Zalesin said. “I certainly do prefer to find these patients before these conditions come up, to head them off, so to speak.” However, she said that some people find it too difficult to exercise because of their excess weight. And some people who have tried dieting find it too difficult to do on their own. In addition to the gastric bypass surgery, Beaumont also offers the gastric sleeve surgery, which is very popular with patients, according to Zalesin. Beaumont surgeons perform about 700 gastric sleeve surgeries each year in contrast to about 150 gastric bypass surgeries. Beaumont also offers the lap-band surgery, approved in 1991, but do very few of these operations. “I do feel people feel that it’ s easier to wrap their heads around gastric sleeve surgeries,” Dr. Zalesin said. “A lot of patients seem to prefer the sleeve at this time.” In gastric bypass surgery, surgeons divide the continued on page 30 Kerstyn Zalesin, M.D. Eating to Live Southfi eld man overcomes major health, lifestyle challenges with bariatric surgery. ELIZABETH KATZ SPECIAL TO THE JEWISH NEWS TOP: Andrew Grossman, 45, of Southfield, plays checkers with his son, Daniel, 11. BOTTOM: Andrew Grossman at 380 pounds before his bariatric surgery. He is pictured here with his late father, Saul, and his son, Daniel. PHOTO BY TONY SIMLER PHOTO BY ELAYNE GROSS jews d in the