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: naproxen / ibuprofen attending: chief complaint: lower extremity weakness major surgical or invasive procedure: lumbar laminectomy l2-5 history of present illness: 65 year old man with a multi year history of chronic back pain. he has been seen recently at and the spine program as recently as where he obtained an mri of his lumbar spine showing l2-3 lumbar disc herniation causing protrusion into the canal and compressing the cauda. he had felt relatively well over the subsequent 2 days but awoke this morning with severe right sided lumbar pain. no parasthesias or radiation of the pain. he presented to for further evaluation. of note patient denies chest pain, shortness of breath, nausea, vomiting. he does endorse new onset urinary retention. past medical history: barretts esophagus depression hypertension paroxysmal atrial fibrillation type ii diabetes mellitus social history: activity level: community ambulator mobility devices: none occupation: retired tobacco: denies etoh: denies family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd vascular radial dp pt r 2 2 2 l 2 2 2 sensory ue c5 (ax) c6 (mc) c7 (mid finger) c8 (macn) t1 (mbcn) t2-l2 trunk r intact intact intact intact intact intact l intact intact intact intact intact intact sensory le l2 (groin) l3 (leg) l4 (knee) l5 (grt toe) s1 (sm toe) s2 (post thigh) r intact intact intact intact intact intact l intact intact intact intact intact intact motor ue deltoid (c5)ax biceps (c6)mc we (c6)r triceps (c7)r wf (c7)m ff (c8)ain fing abd (t1)u r 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 motor le add (l2) ip (l3) quad (l3) ham (l4) ant tib (l4/dp) /gm (l5/sg) peroneal (s1/sp) gs (s1-2/t) r 5 5 5 5 5 5 5 5 l 5 5 5 5 5 5 5 5 reflexes biceps (c4-5) br (c5-6) triceps (c6-7) patellar (l3-4) achilles (l5-s1) r 2 2 2 2 2 l 2 2 2 2 2 straight leg raise test: no pain with elevation of either leg babinski:down going toes bilaterally clonus:none perianal sensation: intact rectal tone:normal pertinent results: 09:00am blood wbc-3.9* rbc-3.40* hgb-10.1* hct-31.1* mcv-92 mch-29.8 mchc-32.6 rdw-13.1 plt ct-319 06:55am blood wbc-5.2 rbc-3.04* hgb-9.1* hct-27.3* mcv-90 mch-29.9 mchc-33.3 rdw-13.0 plt ct-260 11:49am blood wbc-6.1 rbc-3.18* hgb-9.6* hct-29.2* mcv-92 mch-30.2 mchc-32.8 rdw-13.2 plt ct-167 04:57pm blood wbc-8.1 rbc-3.47* hgb-10.2* hct-31.6* mcv-91 mch-29.5 mchc-32.5 rdw-13.0 plt ct-181 05:35am blood pt-28.5* ptt-39.7* inr(pt)-2.7* 09:00am blood pt-26.9* ptt-101.6* inr(pt)-2.6* 05:20am blood pt-29.2* ptt-78.1* inr(pt)-2.8* 03:20pm blood pt-40.3* inr(pt)-4.0* 05:20am blood glucose-107* urean-12 creat-0.9 na-143 k-3.3 cl-106 hco3-26 angap-14 04:58am blood glucose-127* urean-11 creat-1.0 na-138 k-3.6 cl-107 hco3-26 angap-9 04:57pm blood glucose-130* urean-15 creat-1.5* na-140 k-4.2 cl-108 hco3-25 angap-11 07:35pm blood glucose-134* urean-17 creat-0.9 na-142 k-3.6 cl-107 hco3-24 angap-15 05:20am blood calcium-8.3* phos-2.3* mg-2.0 12:11am blood calcium-7.9* phos-1.8* mg-1.8 07:13pm blood calcium-8.5 phos-3.5 mg-1.9 brief hospital course: mr. was admitted to the service of dr. for a lumbar laminectomy. he was informed and consented and elected to proceed. please see operative note for procedure in detail. post-operatively he was given antibiotics and pain medication. a hemovac drain was placed intra-operatively and this was removed pod 3. on the floor the patient was receiving pain control with epidural through and was transitioned to po meds then. he reportedly got 10mg of oxycodone and 0.5mg dilaudid at noon. at approximately 3pm he was sitting in the bedside chair sleeping when a bp check revealed sbp of 60. he was also hypoxic with sats in the low 80s. hr was mid 80s. per the responding team he was not tachypnic. temp was 100.9. he was layed supine and bolused 2lns which improved his bp to 104/80 and a 100% nrb increased his sats to 94%. he was unable to be weaned off the nrb and transferred to the ticu for further care. spiral ct revealed: 1. bilateral segmental pulmonary emboli. 2. mild-to-moderate bibasilar atelectasis with probable superimposed mild consolidation suggestive of infection or aspiration. 3. probable cholelithiasis. 4. heterogeneous appearance of the prostate. this could be a normal variant if there are no clinical symptoms for prostatitis. however, if there is a concern for infection in this region, an ultrasound examination can be performed to assess for fluid collections. 5. post-l2 through l5 laminectomies, with expected neighboring postoperative change. he was started on a heparin drip and subsequently transitioned to coumadin with an every other day dosing of 2.5mg. his bladder catheter was removed pod 3 and his diet was advanced without difficulty. he was able to work with physical therapy for strength and balance. he was discharged in good condition and will follow up in the orthopaedic spine clinic. medications on admission: lamotrigine 100 mg tid seroquel xr 200 mg qd clonazepam 1 mg amlodipine 5 mg qd lisinopril 30 mg qd atorvastain 20 mg qd omeprazole 20 mg sumatriptan 25 mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 3. quetiapine 200 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 7. diazepam 5 mg tablet sig: 1-2 tablets po q8h (every 8 hours) as needed for muscle spasm. 8. oxycodone 5 mg capsule sig: capsules po q4h (every 4 hours) as needed for pain. 9. clonazepam 1 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). 10. lamotrigine 100 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 11. lamotrigine 100 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 12. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 13. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 14. warfarin 2.5 mg tablet sig: one (1) tablet po every other day for 6 months: last given . please skip . giving 2.5mg every other day x 6 months. dr. following future dosing. please draw inr each day for the next week to confirm goal inr 2.0-3.0. discharge disposition: extended care facility: on the discharge diagnosis: lumbar stenosis post-op pulmonary embolis post-op hypoxia and hypotension discharge condition: good discharge instructions: you have undergone the following operation: posterior lumbar decompression 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 for comfort 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 lso for ambulation<br> treatment frequency: please continue to change the dressing daily. evaulate inr daily. followup instructions: with dr. in 10 days procedure: arterial catheterization other exploration and decompression of spinal canal excision of intervertebral disc insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: other iatrogenic hypotension esophageal reflux mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation depressive disorder, not elsewhere classified other and unspecified hyperlipidemia hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation iatrogenic pulmonary embolism and infarction retention of urine, unspecified dehydration barrett's esophagus cauda equina syndrome without mention of neurogenic bladder spondylosis with myelopathy, lumbar region intervertebral disc disorder with myelopathy, lumbar region spondylolisthesis 

Answer: The patient is high likely exposed to