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How long for nicotine/cotinine results?



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So my surgery is Tuesday, July 17th and I did my pre-op testing yesterday, July 11th.

However- this morning I received a call from my surgeons office that there was a mixup and my nicotine level test was never ordered and I needed to come to the office today to provide a urine sample, because they take a few days to get back.

Anyone have any experience with this situation? It’s a bit frustrating, because had I been tested at pre-op testing, they probably would have the results already... but now I’ve gotta wait and hope the surgery isn’t delayed.

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For urine testing, nicotine can be testable for 3-4 days typically. I'm seeing some research say it's testable for upwards of 20... You can speed that up with lots of Water and exercise.

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On 07/12/2018 at 15:24, Matt Z said:



For urine testing, nicotine can be testable for 3-4 days typically. I'm seeing some research say it's testable for upwards of 20... You can speed that up with lots of Water and exercise.


Thank you for this info, but perhaps my question wasn’t quite clear. I’m not worried about what the result will be, as I’m nearly certain it will be negative.

I am worried that my surgery will be delayed because the results won’t arrive in time and am wondering how long it has taken others to get their results from this test...

Hopefully that clarifies it a bit.

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Test results should be very fast. Easy to do in-house with a test kit. Should not delay your surgery.

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On 07/12/2018 at 21:33, Creekimp13 said:



Test results should be very fast. Easy to do in-house with a test kit. Should not delay your surgery.


Thank you! I was hoping that would be the case. 😊

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10 hours ago, insta_adventurer said:

Thank you for this info, but perhaps my question wasn’t quite clear. I’m not worried about what the result will be, as I’m nearly certain it will be negative.

I am worried that my surgery will be delayed because the results won’t arrive in time and am wondering how long it has taken others to get their results from this test...

Hopefully that clarifies it a bit.

Gottcha, I wouldn't stress. If they didn't already tell you that the missing test was going to delay your surgery, odds are it's not going to delay your surgery, ESP if you don't smoke.

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Wohoo! I see the results in my patient portal and I have tested negative!

That was my last hurdle!

I used to smoke, but quit just over six months ago with the help of e-cigs. However, my surgeon said ixnay on any nicotine products- so I had to go nicotine-free a month or so ago. While I was pretty sure I’d be okay, cause I didn’t cheat at all, there are so many mixed messages about how long it stays in the system that I was a little nervous!



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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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