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: service: history of present illness: patient is a 53-year-old gentleman with a high grade dysplasia of the esophagus with possible carcinoma found by egd. he has history significant for diabetes, bipolar disorder and sleep apnea as well as asthma. the ulcer found on endoscopy with g junction was dysplasia. he does have a long history of reflux and family history of heartburn. past medical history: 1. sleep apnea. 2. type 2 diabetes. 3. hypercholesterolemia. 5. bipolar disorder. 6. pulmonary embolism in as well as one distantly. 7. he is sensitive to certain narcotic medications which is something we need to be aware of. 8. also significant for drainage of an anal abscess. outpatient medications: 1. albuterol two puffs q.i.d. p.r.n. 2. divalproex 500 mg one twice a day. 3. flovent two puffs twice a day. 4. glyburide 5 mg twice a day. 5. lipitor 10 mg once a day. 6. metformin 500 b.i.d. 7. coumadin 2 mg tablets as directed by pcp. 8. talfan 2 mg one tablet a day. 9. serevent two puffs at bedtime. physical examination: he has a well-healed right upper quadrant old incision consistent with a cholecystectomy sometime in the past. hospital course: patient went to the operating room on and had a transthoracic esophagogastrectomy through a left thoracic incision. postoperatively, the patient was transferred to the intensive care unit where he was followed carefully. kept npo and had a ng tube to suction. he had an epidural for pain control. he was extubated on postoperative day #1 revealing that he had poor respiratory status which is consistent with his use of c-pap at home. patient was receiving perioperative antibiotics. acute pain service was involved in his care and his sedation was carefully titrated on postoperative day #2 so we will continue to follow the gentleman and attempt at pulmonary toilet was continued. he continued to show poor oxygen reported at 100% nonrebreather face mask. on postoperative day #2 on , the patient again continued with vigorous chest pt and epidural was left in place for good pain relief. on , postoperative day #3, the patient remained hypoxic and hypercarbic despite our aggressive pulmonary toilet. question of slight confusion. the epidural was adjusted. his ng tube was left to suction. he had adequate urine output and dvt prophylaxis was continued. nutrition was involved. patient on , postoperative day #4, with continued diuresis and a left chest tube was placed over this night for a large effusion. rigorous chest pt and diuresis was continued. on , postoperative day #5, the ng tube was self discontinued by the patient, actual weight 6 lbs to good diuresis. the patient was in no acute distress, however continued to have a poor respiratory status. aggressive chest pt was continued. on , the patient's epidural was discontinued and the patient voided well. on postoperative day #7, the patient had a swallow study which showed no evidence of a leak. the next day he was started on sips and converted from a pca to p.o. pain medications. at that interval, he was then transferred to the floor. anticoagulation was began with lovenox given his past history of dvt on coumadin. on the patient's chest tube was discontinued. foley was discontinued. on his inr was 1.9 and lovenox is restarted. his coumadin was briefly held after consultation with the senior residents on the team for an inr as high as 2.5 and restarted at 4 mg b.i.d. the patient is being discharged home after discussion with the cardiothoracic fellow to follow up with dr. . he will good home on lovenox and vna until he achieves a therapeutic inr. he is to have the vna fax these inrs to to the at telephone number. fax number is . this was recorded on the vna form. patient is understanding of the discharge plan. vna will work with him for chest pt, wound evaluations, blood draws. the office of ms. has been contact with regards to this. in addition to his home medications, the patient will have additional medications mainly pain control percocet one tablet for extreme pain every four to six hours given his sensitivity to narcotics, colace 100 mg p.o. b.i.d., lovenox 100 mg subcutaneously b.i.d. until his inr is therapeutic, coumadin 2 mg tablets to be taken as dosed by his pcp. is doing well at this time. , m.d. dictated by: medquist36 d: 11:11 t: 11:13 job#: procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours non-invasive mechanical ventilation arterial catheterization insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt partial gastrectomy with anastomosis to esophagus diagnoses: acidosis diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other convulsions pulmonary collapse iatrogenic pneumothorax unspecified sleep apnea bipolar i disorder, most recent episode (or current) unspecified reflux esophagitis 

Answer: The patient is high likely exposed to