You must follow what your specialist doctor advises. If they have said you are not allowed to fast, as it will make your situation more severe, and your health will deteriorate, then you must not fast.
If you know for a fact that you can fast, and you can manage your situation, like sleeping during most of the day, and taking your medication at night, and it wont harm you, then do so.
If you need to get the surgery done, then also pursue that as well.
If you are not going to fast, then the compensation is to pay 'fidyah', which is 750grams of food to the poor, for each day.
You would definitely have enough time in your busy morning, while being awake, to take a 2 minute break and fast. If your employer does not allow it, remove yoursel from this job.
It is a major sin to deliberately not pray, and all the blessings and positivity will be taken away and drained from you if you were to intentionally not pray and take it lightly.
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