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: allergies: morphine attending: chief complaint: shortness of breath with exertion major surgical or invasive procedure: coronary artery bypass graft x 4 history of present illness: patient is a 75-year-old male with history of pe on coumadin, hl, polycythmia that presents with new onset solitary dyspnea on exertion in the past few weeks with no associated chest pain, orthopnea, pnd, or lightheadedness. he has had lower extremity edema for the past ten years for which he takes lasix. he usually is able to do activities without any issues. a stress echo was performed by his outpatient cardiology with inferior depressions with dyspnea on exertion. in addition, distal septum and apex hypokinesis were noted. he was transferred to for cath and found to have three vessel disease (see report for full details). . cardiac surgery was consulted for evaluation of patient for cabg. he received 600 mg of plavix today at cath in addition to asa. past medical history: polycythemia s/p phlebotomy q 3 months- last phlebotomy 2 weeks ago per patient glucose intolerance hypothyroidism lymphedema pulmonary embolus after dvt of right popliteal vein arthritis left shoulder bladder ca years ago right knee torn ligaments dyslipidemia past surgical history: s/p laminectomy in setting of cauda equina syndrome s/p right carpal tunnel release 10 years ago s/p bladder surgery for malignancy social history: patient lives with wife and is retired operator. he quit smoking 20 years ago with 1.5 ppd x 30 years. occ etoh, no recreational drugs. family history: son died age 22 scd(autopsy showed enlarged heart) physical exam: physical examination on admission: vs - t 96.0 bp 117/66 p 55 spo2 98 ra gen: wdwn elderly male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no apparent jvd cv: pmi not palpable. rr, normal s1, s2. heart sounds distant. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. ext: no c/c. no femoral bruits. 1+ pretibial edema bilaterally. skin: no stasis dermatitis, ulcers, scars, or xanthomas. rectal: hemoccult negative, stool in vault pertinent results: 04:56am blood wbc-7.3 rbc-3.35* hgb-9.9* hct-29.3* mcv-88 mch-29.6 mchc-33.8 rdw-16.7* plt ct-156 04:56am blood pt-13.9* ptt-26.4 inr(pt)-1.2* 01:56pm blood pt-14.5* ptt-42.3* inr(pt)-1.3* 04:56am blood glucose-102* urean-17 creat-1.1 na-140 k-3.9 cl-105 hco3-28 angap-11 03:40am blood glucose-114* urean-18 creat-1.1 na-137 k-3.9 cl-102 hco3-28 angap-11 04:11am blood alt-17 ast-17 ld(ldh)-157 alkphos-106 totbili-0.6 intra-op tee pre-bypass: the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. there are complex (mobile) atheroma in the descending aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post_bypass: normal rv systolic function. lvef 55%. intact thoracic aorta. minimal mr. . brief hospital course: brief hospital course (pre-cabg): patient is a 75-year-old male with history of pe on coumadin, hl, polycythmia that presented new onset dyspnea on exertion over the past two weeks. the patient underwent cardiac catheterization after an abnormal stress test at an outside facility. cardiac cath showed three vessel coronary artery disease, and the patient was evaluated by the cardiac surgery service for cabg. the patient received vein mapping and echo during the pre-operative evaluation process. echo showed findings consistent with longstanding hypertension. the patient was deemed a candidate for cabg, and underwent the procedure on . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis, given the pre-operative stay of greater than 24 hours. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he developed atrial fibrillation for which he received amiodarone, and lopressor was titrated. coumadin was resumed for a history of pe and dvt. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. foley was re-inserted for urinary retention. the patient does have a history of bladder cancer and frequently catheterizes himself at home. the foley is discontinued prior to discharge with instructions to self-cath prn. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna and pt home services as well as a rolling walker. he is in good condition and is given appropriate follow up instructions. medications on admission: coumadin 5mg/2.5mg alternating depending on inr lipitor 20mg po daily levothyroxine 150mcg po daily gabapentin 100mg po daily furosemide 20mg po daily asa 81mg po daily percocet prn leg pain plavix - last dose:600mg discharge medications: 1. outpatient lab work labs: pt/inr for coumadin ?????? indication a-fib goal inr first draw day after discharge then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. results to phone 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). 4. gabapentin 100 mg capsule sig: one (1) capsule po daily (daily). 5. furosemide 20 mg tablet sig: two (2) tablet po once a day: 40mg daily x 1 week, then 20mg daily until further instructed. disp:*60 tablet(s)* refills:*2* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po once a day: 40meq daily x 1 week, then 20meq daily until further instructed. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week,then 400mg daily x 1 week, then 200mg daily until further instructed. disp:*120 tablet(s)* refills:*2* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 11. warfarin 2.5 mg tablet sig: one (1) tablet po once a day: dose to change daily for goal inr , dr. to resume management. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history: hyperlipidemia polycythemia s/p phlebotomy q 3 months- last phlebotomy 2 weeks ago per patient glucose intolerance hypothyroidism lymphedema pulmonary embolus after dvt of right popliteal vein arthritis left shoulder bladder ca years ago right knee torn ligaments past surgical history: s/p laminectomy in setting of cauda equina syndrome s/p right carpal tunnel release 10 years ago s/p bladder surgery for malignancy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait (using rolling walker) incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 2+ bilaterally discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. () septemeber 13, at 1:15pm please call to schedule appointments with your cardiologist/primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a-fib goal inr first draw day after discharge then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. results to phone md procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism atrial fibrillation other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants personal history of malignant neoplasm of bladder retention of urine, unspecified personal history of venous thrombosis and embolism other abnormal glucose venous (peripheral) insufficiency, unspecified polycythemia, secondary 

Answer: The patient is high likely exposed to