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: no known allergies / adverse drug reactions attending: chief complaint: oropharyngeal cancer major surgical or invasive procedure: 1. right modified radical neck dissection. 2. composite resection of right soft palate tumor with a partial maxillectomy. 3. left radial forearm free flap to oral cavity for reconstruction of soft palate, hard palate, parapharyngeal area. 4. placement of split-thickness skin graft for nasal lining of graft 6 x 6 cm. 5. placement of split-thickness skin graft to left radial forearm donor defect area 8 x 8 cm. 5. harvest of cephalic vein for reconstruction of radial artery. 6. excision of left volar ganglion cyst 7. autologous fat grafting. 8. open reduction internal fixation of manidibular osteotomy 9. placement of acellular dermal matrix xcm biologic tissue matrix 4 x 7 cm, reference #.0407s. lot number . 10. tracheotomy exchange history of present illness: 57 year old male diagnosed with locally advanced oropharyngeal carcinoma in . now s/p chemo and radiation. past medical history: benign rectal cyst in , oropharyngeal squamous carcinoma social history: he works as a plumber and lives alone. he has two children, a daughter aged 33 and a son aged 31. is a lifetime nonsmoker and drinks approximately four to five beers per day. family history: father died of lung cancer in his 60s and was a smoker. brother currently has lung cancer and is a heavy smoker. he has a sister who passed away from breast cancer. they were all treated with radiation at physical exam: preoperative exam general: alert, oriented, and cooperative male in no apparent distress. heent: oropharynx is moist with notable 1 cm ulceration on his palate on the back upper right with another small adjacent area of swelling with some necrotic looking tissue both in the base of the ulcer as well as in the area immediately adjacent to it. neck: notable radiation changes with some frontal edema, but no lymphadenopathy or thyromegaly. lungs: clear to auscultation bilaterally. no crackles or wheezes. cardiovascular: regular rate and rhythm. normal s1 and s2. no rubs, murmurs, or gallops. lymphatics: no axillary or inguinal lymphadenopathy. abdomen: soft, nontender, and nondistended with positive bowel sounds. extremities: no edema. skin: warm and intact with no rashes. pertinent results: 05:04pm type-art po2-196* pco2-50* ph-7.34* total co2-28 base xs-0 intubated-intubated 04:50pm pt-13.7* ptt-27.6 inr(pt)-1.3* 08:30am glucose-107* urea n-19 creat-0.8 sodium-141 potassium-4.0 chloride-100 total co2-34* anion gap-11 brief hospital course: the patient was admitted to the plastic surgery service on with oropharyngeal cancer. patient was taken to the operating room and underwent resection right soft palate tumor; right partial maxillectomy; right neck dissection; mandibulotomy; tracheostomy; radial forearm free flap to palate with stsg to ff for nasal lining; cephalic vein graft to repair radial artery and stsg to donor site. patient tolerated the procedure without difficulty and was transferred to the pacu, then the floor in stable condition. please see operative report for full details. neuro: the patient received dilaudid/percocet with good effect and adequate pain control. cv: the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: a po diet was tolerated well. patient was also started on a bowel regimen to encourage bowel movement. intake and output were closely monitored. id: the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on , the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. all questions were answered, and patient has appropriate follow-up care. discharge medications: 1. aspirin 121.5 mg po daily after first pr dose in pacu. (121.5 mg = one and one half baby aspirin) rx *asperdrink 81 mg 1.5 tablet(s) by mouth once a day disp #*30 each refills:*0 2. chlorhexidine gluconate 0.12% oral rinse 15 ml oral tid rx *peridex 0.12 % rinse mouth three times a day disp #*10 each refills:*0 3. docusate sodium 100 mg po bid when taking po 4. hydrocodone-acetaminophen (5mg-500mg tab po q6h:prn pain rx *hydrocodone-acetaminophen 5 mg-334 mg/10 ml 1 solution(s) by mouth every six (6) hours disp #*15 each refills:*0 5. amoxicillin-clavulanic acid 875 mg po q12h duration: 7 days rx *amoxicillin-pot clavulanate 600 mg-42.9 mg/5 ml 1 cap(s) by mouth three times a day disp #*21 each refills:*0 discharge disposition: home with service facility: area vna discharge diagnosis: recurrent oropharyngeal cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: -you should sleep with your head of bed elevated (you may use pillows at home) to help with swelling and drainage. -you should continue to walk around. -report any change in color of your flap area including increased redness and/or any dusky or darkened appearance to dr. office. -use gauze, as needed, to help absorb drainage from flap -you may shower but cover your right thigh donor site and your left forearm skin graft site with plastic wrap/bag to shield from moisture. no tub baths until directed by dr. . -leave your right thigh skin graft donor site open to air to dry out. -your left forearm skin graft site should be dressed with: xeroform dressing, covered with fluffed gauze and wrapped with kerlix and then ace wrap once a day. -rinse mouth with peridex twice a day -take the baby aspirin 1.5 tablets for one month . drain and trach site care: -clean around the drain site(s), where the tubing exits the skin, with soap and water. -strip drain tubing, empty bulb(s), and record output(s) times per day. -a written record of the daily output from each drain should be brought to every follow-up appointment. your drains will be removed as soon as possible when the daily output tapers off to an acceptable amount. .-place clean/dry dressing to your tracheostomy site daily. . diet/activity: 1. you may continue your tube feeds and don't have anything by mouth until you follow up with dr. . 2. try to avoid bending over, avoid heavy lifting and do not engage in strenuous activity until instructed by dr. . . medications: 1. resume your regular medications unless instructed otherwise and take any new meds as ordered. 2. you may take your prescribed pain medication for moderate to severe pain. you may switch to tylenol or extra strength tylenol for mild pain as directed on the packaging. please note that percocet and vicodin have tylenol as an active ingredient so do not take these meds with additional tylenol. 3. take prescription pain medications for pain not relieved by tylenol. 4. take colace, 100 mg by mouth 2 times per day, while taking the prescription pain medication. you may use a different over-the-counter stool softener if you wish. 5. do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. . call the office immediately if you have any of the following: 1. signs of infection: fever with chills, increased redness, swelling, warmth or tenderness at the surgical site, or unusual drainage from the incision(s). 2. a large amount of bleeding from the incision(s). 3. fever greater than 101.5 of 4. severe pain not relieved by your medication. . return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, fever greater than 101.5 (f) degrees or 38 (c) degrees, increased redness, swelling or discharge from incision, chest pain, shortness of breath, or anything else that is troubling you. * any serious change in your symptoms, or any new symptoms that concern you. . drain discharge instructions you are being discharged with drains in place. drain care is a clean procedure. wash your hands thoroughly with soap and warm water before performing drain care. perform drainage care twice a day. try to empty the drain at the same time each day. pull the stopper out of the drainage bottle and empty the drainage fluid into the measuring cup. record the amount of drainage fluid on the record sheet. reestablish drain suction. followup instructions: ****make follow up appt with plastics, dr. , , in one week . ****make follow up appt with ent, dr. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy temporary tracheostomy other skin graft to other sites replacement of tracheostomy tube repair of blood vessel with tissue patch graft radical neck dissection, unilateral other reconstruction of mandible other excision of mouth partial ostectomy of other facial bone dermal regenerative graft attachment of pedicle or flap graft to lip and mouth excision of lesion of tendon sheath other repair and plastic operations on nose diagnoses: anemia, unspecified secondary malignant neoplasm of other specified sites personal history of irradiation, presenting hazards to health other abnormal glucose family history of malignant neoplasm of trachea, bronchus, and lung family history of malignant neoplasm of breast physical restraints status ganglion, unspecified malignant neoplasm of palate, unspecified 

Answer: The patient is high likely exposed to