nicotine Question about nicotine test on surgery day...

[kosmickarasu 4]

Hello there! I am Jayla and new here. Age 34, 5'3 Hw 392 CW 290

I have roux en y surgery on June 3rd. After a ton of set backs 3 years of work to get surgery I am finally approved and getting surgery in 3 days.

Long story sorry!

I quit smoking for 2 years before trying to get surgery back in 2019 then lost my insurance and got delayed. After getting back into program in January of 2020 I started smoking during covid when I got a divorce. I quit 10 days before my nicotine test and surgeon meeting etc for insurance approval all went great....

Well... my surgery got delayed again do to the prior authorization team not sending things correctly and requiring an appeal and resubmisson again. Delayed another 4 months until June 3rd. I started smoking again after having a child like idiot temper tantrum moment when this happened. Not my finest decision obviously I know that. I know smoking is bad and bad for surgery.

Last detail is that I have asthma and super allergies in the spring and fall that make me have very bad post nasal drip and mucus. I normally go on prednisone to help... well cannot take them anymore... and if you don't know quitting smoking creates even more of this post nasal drip... resulting in tight tubed and feeling of drowning so I was struggling to immediately quit again.

At my pre-op exam the doctor conversed with my pcp on a plan to have me quit smoking 2 days before surgery on a cut down regimine while taking antihistamines and said it should be fine.

My surgeon of course did not want me on any nicotine for a few weeks prior to surgery. I am worried he will cancel on surgery day even if this was advised by my pcp and pre-surgical exam doctor.

Has anyone ever passed the first nicotine test but failed on surgery day? What happened?

Do they always again test on surgery day? Is it a blood or urine test?

Any tips for passing or how to handle this?

Thank you all for your time and consideration. I really would rather not postpone due to a flub on my part when I have been so successful in my journey already.

[catwoman7 11,223]

my nicotine test was a blood test. I can't remember if I had a second one the day of surgery or not (it's been a few years), although I quit smoking many years ago, so it wasn't really an issue for me...