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: past medical history: 1. arthritis. 2. insulin-dependent diabetes. 3. myocardial infarction (non-q wave) in . 4. status post ptca of the lad. 5. hypertension. 6. increased cholesterol. 7. status post laminectomy. 8. status post left leg vein stripping. 9. status post left rotator cuff repair. 10. excision of melanoma of the back. 11. question of reflux. admission medications: 1. cardizem standard release 120 mg q.a.m. 2. atenolol 50 mg q.d. 3. altace 10 mg q.d. 4. tricor 160 mg q.d. 5. omega iii fatty acids 1,000 mg t.i.d. 6. enteric coated aspirin 325 mg q.d. 7. prevacid 30 mg q.d. 8. multivitamin. 9. vitamin c 500 mg b.i.d. 10. bextra 20 mg q.d. 11. lantus 50 units q.p.m. 12. humalog insulin sliding scale. allergies: the patient has no known drug allergies. physical examination on admission: vital signs: the vital signs were stable, afebrile. the blood pressure was mildly elevated at 173/82 on the right and 157/80 on the left. weight 236 pounds. height 5.11 inches. general: the patient was an elderly white male in no acute distress. heent: atraumatic, normocephalic, eomi, perrl, anicteric. the throat was clear. neck: no masses. no lymphadenopathy. no bruits. chest: clear to auscultation bilaterally without wheezing. cardiovascular: regular rate and rhythm without murmur, rub, or gallop. abdomen: soft, nontender, nondistended, obese. no masses or organomegaly. extremities: warm with 1+ pitting edema, right greater than left. varicose veins right greater than left. neurology: alert and oriented times three. no gross deficits. admission laboratory data: cbc 6.0/13.0/36.5/144 with neutrophils of 43%, lymphocyte 46%, monocytes 5.4%, eosinophils 4%. pt 12.8, inr 1.1, ptt 25.2. chemistries: 139, 4.8, 105, 23, 35, 1.9, 159. lfts: alt 33, ast 23, alkaline phosphatase 49, total bilirubin 0.3. magnesium 2.0. radiographic data: the chest x-ray was unremarkable with a question of a probable nipple shadow over the left sixth anterior rib. repeat chest x-ray was recommended for the possibility of a lung nodule. hospital course: the patient was admitted for coronary artery bypass grafting. the patient underwent the procedure on . there were no intraoperative complications. the patient had an unremarkable icu course and was extubated on postoperative day number zero. the patient was maintained on neo and insulin drips for systolic blood pressure and glucose respectively. on postoperative day number two, the patient did have some mild confusion and was restarted on an insulin drip for a blood sugar of 339. the patient began working with physical therapy at that time as well. the patient was transferred to the floor on postoperative day number three without complication. the chest tubes were removed prior to transfer. the patient's floor stay was largely unremarkable. blood sugars were fluctuating and seemed to be somewhat high occasionally in the 200s. the patient had no other difficulties. the pacing wires were removed on postoperative day number four. on postoperative day number five, the patient was discharged to home, tolerating a regular diet, on adequate pain control and p.o. pain medications and having been cleared by physical therapy to go home. physical therapy thought that his motor status was too good to be discharged to a rehabilitation facility. the patient is comfortable going home as his two daughters are nurses and he will have the support of his wife as well. discharge condition: good. disposition: to home. diet: cardiac, diabetic. discharge medications: 1. colace 100 mg b.i.d. 2. aspirin 325 mg q.d. 3. lopressor 50 mg b.i.d. 4. percocet 5/325 one to two tablets q. four hours p.r.n. 5. plavix 75 mg q.d. 6. lantus 35 units q.p.m. 7. humalog insulin sliding scale. discharge instructions: the patient should follow-up with his cardiologist in one to two weeks. the patient should also follow-up with dr. in one months time. of note, the patient was discharged not on lasix or potassium as his weight on discharge was 5 kilograms less than his preoperative weight. the patient had only trace edema on discharge. the need for possible further diuresis should be addressed at the follow-up visits. he was found on preop cxr to have a lung nodule that was most likely a nipple shadow. this will be evaluated at a later date. physical examination at discharge: mr. was alert and oriented. he continued to be a quite jovial and pleasant patient. the chest was clear to auscultation bilaterally. cardiovascular: regular rate and rhythm. the sternal incision was open to the air and clean and dry. there was no drainage. the sternum was stable. abdomen: soft, nontender, nondistended, obese. extremities: warm and well perfuse with only trace pedal edema. the vital signs were stable and afebrile. the patient was saturating 91% on room air on the day of discharge. laboratory data on discharge: cbc 7.1/27.7/244. chemistries 138/4.8/101/25/39/1.7/174. magnesium 2.3. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diaphragmatic hernia without mention of obstruction or gangrene old myocardial infarction diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled personal history of malignant melanoma of skin 

Answer: The patient is high likely exposed to