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: history of present illness: mr. is an 88-year-old male who was referred to dr. clinic on by a urologist by the name of dr. , who is a urologist in hospital, for a bladder tumor. he carries a diagnosis of transitional cell carcinoma of the bladder, which reportedly had been causing an obstructed left ureter. on visiting dr. office on the 12th, the patient had copious clots irrigated from the patient's bladder via a foley catheter that was placed at the appointment. it appeared that the patient was probably losing a significant amount of blood out of his bladder, so the patient was immediately admitted to . past medical history: includes a 15 year history of paroxysmal atrial fibrillation, hypertension, chemical pleurodesis in for three spontaneous pneumothoraces secondary to a long history of smoking, and emphysema and blebs, bilateral inguinal hernia repair in , left inguinal hernia reoperated in , bilateral cataract surgery in the 70s. social history: the patient quit cigarettes in . he has a 100 pack year history. quit drinking alcohol in . he was a truck driver, retired in . allergies: no known drug allergies. medications: tambocor 100 mg by mouth every morning and 50 mg by mouth every evening, hydrochlorothiazide 12.5 mg by mouth every morning, diltiazem 240 mg by mouth every evening, digoxin 250 mcg every monday, wednesday and friday, flomax .4 mg every morning, zestril 10 mg by mouth every morning. physical examination: on admission, the patient's temperature was 97.1 degrees, vital signs stable. physical examination significant at the time for a distended abdomen, consistent with a mass in the suprapubic area, thought to be a bladder filled with clots. laboratory data: hematocrit on admission 28.8, creatinine 2.5. the patient, per his primary care physician, baseline creatinine of 2.2. hospital course: the patient was admitted to the hospital. additional clots were irrigated from the patient's bladder, and he was started on continuous bladder irrigation. he was transfused a unit of packed red blood cells. considering his history of atrial fibrillation for 15 years and several cardiac medications, a preoperative cardiology consult was obtained. they made several recommendations, and recommended that the patient no longer be on digoxin because it is renally cleared and the patient has impaired creatinine clearance. they instead recommended that he be put on beta blocker perioperatively and postoperatively. he did undergo a preoperative echocardiogram which showed a left ventricular ejection fraction of 55%. on , the patient underwent radical cystoproctatectomy with ileal loop urinary diversion for a preoperative diagnosis of invasive bladder cancer. postoperative diagnosis is also invasive bladder cancer. findings intraoperatively included a bladder full of blood clots and a markedly enlarged prostate. the patient was extubated in the operating room, brought to the post-anesthesia care unit, and then transferred to the intensive care unit postoperatively for close cardiopulmonary monitoring. the patient was quite hypertensive postoperatively, and required treatment with intravenous lopressor, intravenous enalapril. his blood pressure continued to be high, and the patient was put on a diltiazem drip. however, he went into a 2:1 av nodal block, and the diltiazem drip was discontinued. the patient's blood pressures were thus controlled with intravenous enalapril, intravenous lopressor, and as needed hydralazine. the patient, on postoperative day one, was doing well, making good urine output. he did pull out one of his ureteral stents when he became disoriented on postoperative day one. the patient was continued on kefzol and flagyl for five days postoperatively. the patient was kept nothing by mouth with a nasogastric tube for several days postoperatively, as he had no bowel sounds and no reports of flatus. the patient had some tachycardia in the low 100s on . he had an electrocardiogram that was done that showed that the patient continued to be in sinus rhythm and was not in atrial fibrillation, and he was ruled out appropriately with a set of cpks. on , postoperative day five, the patient continued to do well. he had some hypoactive bowel sounds. he was advanced to a clear diet, and he was put back on all of his oral antihypertensive and cardiac medications, and was transferred to the floor. on , the patient's central venous line was discontinued, and the patient's right ureteral stent was discontinued. on , the patient was advanced to a regular diet. - fluid was sent for creatinine, and the creatinine level was 2 after it had been 1 two days previously. the - drain was discontinued on , and the patient was discharged to rehabilitation on the 22nd. discharge medications: 1. tambocor 100 mg by mouth every morning and 50 mg by mouth every evening 2. labetalol 200 mg by mouth twice a day 3. hydrochlorothiazide 12.5 mg by mouth once daily 4. zestril 10 mg by mouth once daily 5. protonix 40 mg by mouth once daily 6. percocet one to two tablets by mouth every four hours as needed for pain 7. colace 100 mg by mouth twice a day, hold for loose stools 8. tylenol 650 mg by mouth every four hours as needed for fever one thing of note, the patient, after being transferred out of the intensive care unit, was put on labetalol, which seemed to control his blood pressure very well, and the medicine team, who was taking care of the patient in the intensive care unit, felt that that would be a good medication long-term, however, the patient should definitely see his former cardiologist to adjust his antihypertensive and cardiac medications within one to two weeks. the patient will also follow up with dr. , and will call his office for an appointment. , md dictated by: medquist36 procedure: radical cystectomy formation of cutaneous uretero-ileostomy transurethral clearance of bladder diagnoses: unspecified essential hypertension atrial fibrillation other emphysema malignant neoplasm of trigone of urinary bladder 

Answer: The patient is high likely exposed to