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: patient recorded as having no known allergies to drugs attending: chief complaint: morbid obesity major surgical or invasive procedure: open roux-en-y gastric bypass open cholecystectomy history of present illness: the patient is a 47-year-old gentleman with a bmi of 61 and a weight of 463 pounds. he has been on multiple supervised diets with a maximum of 125 pounds weight loss with regain. he has recently been evaluated by program and deemed a suitable candidate for weight loss surgery. he has comorbid conditions including hypertension, sleep apnea, gastroesophageal reflux disease, dyslipidemia and asthma. he is familiar with complications including mortality of 1%, complications of 10%, reoperation of 5%. he fully understands the risks of tracheostomy and ventilator dependence given his longstanding history of smoking. he is familiar with complications including leaks, internal hernias, external incisional hernias, stenosis, internal hernias, retained stones, abscesses, infections, bleeding, malnutrition, excess skin and hair thinning. he agrees to diet, exercise, support group and lifelong medical follow-up. past medical history: 1. asthma 2. bronchitis 2. htn 3. morbid obesity social history: quit tobacco , 30 pack-year history social etoh no other drug use family history: nc physical exam: nad, a&ox3 perrl heent wnl neck supple no masses or thyromegaly no cervical lad chest ctab rrr no mrg. no jvd abd obese, soft ntnd with nl bs. no surgical scars. full arom ue and le pertinent results: hct-36 brief hospital course: pt was admitted through same day admission and taken to the or with dr. for an open gastric bypass with cholecystectomy, see operative report for details. he tolerated the procedure well and was extubated in the or. due to the length of the operation, his morbid obesity, and his history of obstructive sleep apnea, it was decided to keep mr. in the pacu overnight. he experienced some elevated heart rate and blood pressure on pod#0 that was treated with iv lopressor with good effect. he otherwise had an uneventful first night and was transferred to the surgical floor on the morning of pod#1. his ng tube was removed and he was advanced to a stage i diet. nutrition and physical therapy were both consulted. on pod#2 the foley catheter was removed. a methylene blue swallow test was done which was negative. he was advanced to a stage ii diet which he tolerated well. he was ambulatory with physical therapy. on pod#3 he was advanced to a stage iii diet which he tolerated well. by the time of discharge on pod #5 he was ambulating well, saturating well on room air, and tolerating a stage 3 diet well. medications on admission: hctz 25' singulair 10' albuterol prn flovent 110" zyrtec 60" protonix 40' ambien prn lisinopril 20' asa centrum buproprion sr 150' discharge medications: 1. flintstones complete 30-200-3 mg-unit-mcg tablet, chewable sig: one (1) tablet, chewable po once a day. disp:*30 tablet, chewable(s)* refills:*2* 2. zantac 15 mg/ml syrup sig: ten (10) ml po once a day for 1 months. disp:*qs for 1 month ml* refills:*0* 3. roxicet 5-325 mg/5 ml solution sig: ml po every hours as needed for pain for 1 months. disp:*250 ml* refills:*0* 4. roxicet 5-325 mg/5 ml solution sig: ml po every hours as needed for pain for 1 months. disp:*250 ml* refills:*0* 5. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). discharge disposition: home discharge diagnosis: morbid obesity hypertension obstructive sleep apnea gerd asthma gout bronchitis dyslipidemia discharge condition: stable discharge instructions: call your surgeon or go the er if you experience: -chest pain or shortness of breath -fevers greater than 101.5 degrees, chills -persistent nausea and vomiting -severe abdominal pain -inability to pass gas or stool -redness or foul-smelling drainage at wound medications: resume your usual home medications. take the roxicet (oxycodone/acetaminophen liquid) as prescribed for pain. in addition, you will need to take liquid zantac (acid-reducer) for 1 month and a chewable multivitamin every day. diet: stay on a stage iii diet until follow-up. do not self-advance your diet. do not chew gum or drink out of a straw. activity: you may resume your usual activities. however, you should not lift anything heavier than lbs for the next 6 weeks. wound care: you may shower as you normally would, but no swimming or bathing until after follow-up. the white paper strips over the incisions will fall off on their own in about a week. you can cover the incisions with a dry gauze if they are draining, otherwise no dressing is needed. followup instructions: provider: , md phone: date/time: 12:45 provider: , ma, rn, ldn phone: date/time: 1:30 procedure: non-invasive mechanical ventilation cholecystectomy high gastric bypass diagnoses: esophageal reflux unspecified essential hypertension gout, unspecified asthma, unspecified type, unspecified personal history of tobacco use other and unspecified hyperlipidemia unspecified sleep apnea morbid obesity chronic cholecystitis 

Answer: The patient is high likely exposed to