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: avodart / niacin attending: chief complaint: back and leg pain major surgical or invasive procedure: anterior fusion l3-s1 stage 1 anterior fusion t10-l3 stage 2 on via thoracotomy stage 2 t10-s1 posterior fusion stage 3 history of present illness: dr. has a long history of back and leg pain. he has attemptede conservative therapy but has failed. he now presents for surgical intervention. past medical history: dyslipidemia hypertension ischemic heart disease s/p mix3, stent x3. cardiac cath showed no flow limiting epicardial vessels, patent lad, occluded pda. hearing loss severe gerd renal insufficiency cr 1.4-1.6 at baseline social history: denies family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles + axial back pain pertinent results: 05:15am blood wbc-6.2 rbc-3.79*# hgb-12.2*# hct-33.7*# mcv-89 mch-32.1* mchc-36.1* rdw-15.7* plt ct-114* 03:39am blood wbc-6.5 rbc-2.87* hgb-9.3* hct-25.5* mcv-89 mch-32.3* mchc-36.4* rdw-16.1* plt ct-97* 01:27am blood wbc-8.2 rbc-3.37* hgb-10.6* hct-30.2* mcv-90 mch-31.5 mchc-35.1* rdw-17.0* plt ct-117* 01:36am blood wbc-6.0 rbc-2.91* hgb-9.5* hct-26.6* mcv-92 mch-32.7* mchc-35.7* rdw-15.6* plt ct-146* 05:15am blood glucose-114* urean-15 creat-0.6 na-129* k-3.6 cl-97 hco3-25 angap-11 01:27am blood glucose-121* urean-17 creat-0.7 na-136 k-3.9 cl-107 hco3-24 angap-9 08:17pm blood glucose-163* urean-17 creat-1.0 na-136 k-4.4 cl-105 hco3-25 angap-10 04:10am blood glucose-136* urean-14 creat-1.0 na-134 k-4.2 cl-104 hco3-25 angap-9 05:15am blood calcium-7.3* phos-1.9* mg-1.9 01:27am blood calcium-7.1* phos-2.0* mg-2.0 08:17pm blood calcium-8.9 phos-4.0 mg-1.7 brief hospital course: dr. was admitted to the spine surgery service on and taken to the operating room for l3-s1 interbody fusion through an anterior approach. in addition, he underwent a fusion t11 to l3 through a thoracotomy. chest tube placement was performed in the or. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. teds/pnemoboots were used for postoperative dvt prophylaxis. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a pca. on hd#2 he returned to the operating room for a scheduled t10-s1 decompression with psif as part of a staged 3-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the pacu in a stable condition. postoperative hct was low and he was transfused multiple units prbcs. he was transfered to the sicu for hemodynamic monitoring. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until postop day one when it was removed. he was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#3 from the second procedure. he was fitted with a tlso brace for comfort. physical therapy was consulted for mobilization oob to ambulate. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: acetaminophen aciphex atenolol atorvastatin diazepam ezetimibe fexofenadine furosemide gabapentin metoclopramide methocarbamol multivitamins nasacort aq nitroglycerin sl omeprazole ondansetron prochlorperazine ranexa senna zolpidem tartrate discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for rash. 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 8. ranolazine 500 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po bid (2 times a day). 9. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for angina. 10. metoclopramide 10 mg tablet sig: 1.5 tablets po tid (3 times a day). 11. methocarbamol 500 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for spasm. 12. gabapentin 300 mg capsule sig: two (2) capsule po hs (at bedtime). 13. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 14. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for insomnia. 15. fentanyl 50 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 16. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 17. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 18. oxycodone 5 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. 19. atrovent nasal 20. amitriptyline 10 mg tablet sig: three (3) tablet po hs (at bedtime). discharge disposition: extended care facility: health care discharge diagnosis: scoliosis, spondylosis and spinal stenosis acute post-op blood loss anemia discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior lumbar decompression with fusion immediately after the operation: -activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. -rehabilitation/ physical therapy: o2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. you can walk as much as you can tolerate. olimit any kind of lifting. -diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. -brace: you have been given a brace. this brace is to be worn when you are walking. you may take it off when sitting in a chair or while lying in bed. -wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. -you should resume taking your normal home medications. no nsaids. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: activity: out of bed w/ assist thoracic lumbar spine brace: when oob treatments frequency: please continue to inspect the incisions daily followup instructions: with dr. in 10 days procedure: reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue dorsal and dorsolumbar fusion of the anterior column, anterior technique excision of intervertebral disc excision of bone for graft, other bones dorsal and dorsolumbar fusion of the posterior column, posterior technique other laparotomy lumbar and lumbosacral fusion of the anterior column, anterior technique internal fixation of bone without fracture reduction, other bones insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: esophageal reflux acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia unspecified hearing loss old myocardial infarction scoliosis [and kyphoscoliosis], idiopathic lumbosacral spondylosis without myelopathy degeneration of lumbar or lumbosacral intervertebral disc other acute postoperative pain 

Answer: The patient is high likely exposed to