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: dislodged trach major surgical or invasive procedure: bronchoscopy tracheostomy tube change history of present illness: 63 y/o f w/ h/o copd, trach dependent, dm, htn who presented to osh with complaint of trach tube falling out. states she doesn't know how to tighten strings or make it feel better. respiratory assessed trach. felt that trach was out further than it should be and can not push it back into place. attempts to replace tube were unsuccessful. contact dr. for plan to transfer to . pedi-endotracheal tube in place for airway. . on arrival here, denies chest pain, sob past medical history: copd trach dependent- after abd surgery last year dm htn osa social history: lives at home with son and his family family history: n/a physical exam: vitals- t 98.0, bp 142/75, hr 95 nsr, rr 20, 95% on 40% fio2 tm gen- sleepy but arousable, mouths words heent- eomi. neck- trach in place. pink granulation tissue around trach. no purulent drainage or blood oozing pulm- cta b/l. no r/r/w cv- rrr. no m/r/g abd- soft, nt/nd ext- venous stasis change b/l le's, 1+ edema b/l neuro- alert and oriented, follows commands pertinent results: 06:54pm blood wbc-5.7 rbc-3.75* hgb-11.5* hct-34.7* mcv-93 mch-30.8 mchc-33.3 rdw-15.5 plt ct-198 07:38am blood wbc-6.5 rbc-3.88* hgb-12.0 hct-35.6* mcv-92 mch-31.0 mchc-33.7 rdw-15.7* plt ct-206 07:38am blood plt ct-206 06:54pm blood pt-11.5 ptt-26.0 inr(pt)-1.0 04:15am blood type-art temp-37.1 rates-14/ tidal v-490 peep-5 fio2-60 po2-71* pco2-72* ph-7.39 caltco2-45* base xs-14 intubat-intubated brief hospital course: pt was admitted to the medical icu and underwent bronchoscopy on hd#1. she was found to have supraglottic obstruction with granulation tissue on bronchoscopy. her tracheostomy was replaced and on hd#2 she no longer required ventilator support. on hd#3 she remained stable with some mild desaturations down to the 70's on no vent support and only 50% trach mask. she was evaluated by otolaryngology / head & neck surgery who felt most of her obstruction was sub-glottic. on hd#4 she was deemed medically stable for d/c home and was sent home with her family. she is to return in weeks for bronchoscopy with possible t-tube placement. medications on admission: prilosec 20mg/day centrum daily levothyroxine 150mcg/day lasix 40mg metformin 500mg/day diabeta 5mg qam, 2.5mg qpm zoloft 50mg/day metoprolol 25mg discharge medications: 1. multivitamin capsule sig: one (1) cap po daily (daily). 2. levothyroxine 150 mcg tablet sig: one (1) tablet po daily (daily). 3. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 4. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* discharge disposition: home discharge diagnosis: dislodged traceostomy tube suprastromal granulation tissue discharge condition: good discharge instructions: you should follow-up with interventional pulmonology in weeks after the swelling goes down for bronchoscopy. you were admitted to the hospital for a respiratory difficulties from tracheostomy site. you should call your doctor or return to the er should you experience any of the following: severe increase in drainage or redness at trach site severe increase in pain from trach site fever > 101 severe pain numbness/tingling/paralysis severe dizziness nausea/vomiting severe chest pain/sob any other symptoms that worry you. followup instructions: you should follow-up with interventional pulmonology in weeks for bronchoscopy on friday . you should come to 8 at 7:30am for an 8:30am procedure. you should remain npo after midnight the night before your procedure. you should call ( should you need to reschedule. please follow-up with your primary care doctor in weeks for maintenance of your longterm medical care. provider: ,nine day care 8 date/time: 7:30 provider: ,ip proc ip procedures date/time: 8:30 provider: ,room one ip rooms date/time: 8:30 procedure: bronchoscopy through artificial stoma replacement of tracheostomy tube diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified acute respiratory failure mechanical complication of tracheostomy 

Answer: The patient is high likely exposed to