Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: past medical history: 1. coronary artery disease. 2. hypertension. 3. diabetes. 4. gastroesophageal reflux disease. 5. hepatitis as a child. 6. diabetic retinopathy. 7. anemia. 8. history of alcohol abuse in the past. 9. extremity arthritis. 10. prostate cancer, awaiting surgery. 11. myelodysplasia. admission medications: 1. aspirin, enteric coated 81 mg q.d. 2. lantus insulin 30 units q.p.m. 3. sliding scale novalog insulin panel with meals. 4. cardia xt 240 mg q.d. 5. enalapril 20 mg p.o. q.d. 6. protonix 40 mg p.o. q.d. 7. roxicet t.i.d. 8. ms contin 15 mg p.o. b.i.d. 9. plavix 75 mg p.o. q.d. 10. neurontin 300 mg p.o. q.d. social history: the patient is single and lives alone. the patient works as a mechanical estimator. hospital course: on , the patient underwent a quadruple coronary artery bypass graft procedure. anastomosis included from the lima to the lad, from the aorta via saphenous vein graft to the right pda, and saphenous vein graft to the distal lad and saphenous vein graft to the om. bypass time was noted to be 85 minutes and cross clamp time was noted to be 71 minutes. the patient's pericardium was left open; lines placed included an arterial line and a swan-ganz catheter; both ventricular and atrial wires were placed; both mediastinal and left pleural tubes were placed. the patient was subsequently transferred to the cardiac surgery recovery unit, intubated, for further evaluation and management. on transfer, the patient's mean arterial pressure was 85, p80 18, 25. the patient was noted to be in normal sinus rhythm with a heart rate of 88 beats per minute. drips on transfer included propofol, neo-synephrine, and aprotinin. shortly following arrival in the csru, the patient was successfully weaned and extubated without complication and was subsequently advanced to oral intake without incident. while in the csru, the patient was noted to demonstrate progressively diminishing platelet counts, after which all heparin products were ceased and the patient was sent for heparin-induced thrombocytopenia antibody screen which subsequently proved negative. the patient thereafter demonstrated a gradually increasing platelet count for the duration of his stay without any further dips in his values. on postoperative day number two, the patient's lines and chest tubes were removed without complication and the patient was subsequently cleared for transfer to the floor. the patient was thereafter admitted to the cardiothoracic service under the direction of dr. . while on the floor, the patient progressed well clinically to the time of his discharge. the patient was evaluated by physical therapy, who cleared the patient for eventual discharge to home following resolution of the acute medical issues. the patient's foley catheter was removed without complication and he was subsequently noted to be independently productive of urine for the duration of his stay. the patient's pacer wires were removed without incident and the patient was noted to have adequate pain control via oral pain medications following a consultation from the chronic pain service. on postoperative day number four, the patient was noted to demonstrate a gradual dip in his hematocrit to 22.7, for which he received 1 unit of packed red blood cells which was irradiated and rendered leukopoor. discussions were with the hematology/oncology service. the patient subsequently demonstrated an adequate bump in his hematocrit and demonstrated no evidence of active bleeding. following clearance by physical therapy, the patient was subsequently cleared for discharge to home on postoperative day number five, , with instructions for follow-up. condition on discharge: the patient is to be discharged to home with instructions for follow-up. status at discharge: stable. discharge medications: 1. lopressor 25 mg p.o. b.i.d. 2. lasix 20 mg p.o. b.i.d. times ten days. 3. potassium chloride 20 meq p.o. q.d. times ten days. 4. enteric coated aspirin 325 mg p.o. q.d. 5. colace 100 mg p.o. b.i.d. 6. percocet one to two tablets p.o. q. four to six hours p.r.n. pain. 7. morphine sulfate 30 mg p.o. b.i.d. 8. vioxx 12.5 mg p.o. q.d. discharge instructions: the patient is to maintain his incisions clean and dry at all times. the patient may shower but should pat dry incisions afterwards; no bathing or swimming until further notice. the patient has been instructed to resume a cardiac diet. the patient has been advised to limit physical activities; no heavy exertion. no driving while taking prescription pain medications. the patient is to follow-up with dr. in one to two weeks; the patient is to call to schedule an appointment. the patient is to follow-up with dr. in four weeks; the patient is to call to schedule an appointment. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension malignant neoplasm of prostate diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to