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: lactose-free food attending: chief complaint: metformin & levothyroxine overdose major surgical or invasive procedure: intubation and mechanical ventilation -venous hemodialysis history of present illness: this is a 54 year old man with history of depression and prior suicide attempts who presents following overdose on multiple medications. recent hospitalization at hospital. had been hording meds. told his psychiatrist he wanted to kill himself - patient referred to osh ed, overdosed on grounds of the osh. took metformin, levothyroxine, and several of antidepressants ~10:30pm. initially lucid, then progressively "groggy." had witnessed tonic-clonic seizure while on bedside commode. intubated there, given charcoal and ativan then transferred to . he apparently aspirated a "substational amount" of charcoal at the osh. in the ed, vitals were 98 97 96/41 99% on 100% ac, on peripheral dopa. fast was negative, pump function appeared adequate. persistent hypotension as low as 70's. neo and levophed were added. right groin line placed. og tube placed. has received nearly 8l of fluid total. toxicology was consulted and he was started on bicarbonate per their recommendations. no history of ccb ingestion. ekg with qrs of 106 and upright r in avr. ct head without evidence of bleed or mass. current vitals 102 92/40 16 97%. got empiric vancomycin in ed (did not get zoysn ordered). past medical history: depression, h/o suicide attempts -- has pact team, followed in rehab baycove pact caseworker dr. , -- psych emergency service contact pager bipolar disorder (prior dx of schizoaffective per psych) aspergers hypothyroidism, h/o diabetes cardiomyopathy ef 40% mibi htn hyperlipidemia social history: history of smoking per omr family history: non-contributory physical exam: vitals 95.2 102 105/57 17 96% on ac 550x22, 1.0 general intubated and sedated obese man +charcoal in et tube heent pupils dilated to ~5mm but reactive, charcoal draining from ogt neck unable to assess jvp secondary to habitus pulm lungs with bronchial breath sounds bilaterally, no wheezing or rales cv regular s1 s2 no m/r/g abd obese nontender +bowel sounds soft extrem warm well perfused full distal pulses neuro sedated . lines/tubes/drains r femoral line pertinent results: ct head : no acute intracranial hemorrhage or fracture. echo : the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there is an anterior space which most likely represents a fat pad. leni no dvt. cxr - : findings: heart size is normal. aorta is mildly tortuous. marked improvement in aeration of the lungs with near complete resolution of bibasilar opacities with some residual bronchial wall thickening in the perihilar and basilar regions. questionable small left pleural effusion on lateral view. impression: near resolution of bibasilar opacities. residual bronchial wall thickening and questionable small left effusion. cbc: 08:10am blood wbc-19.9* rbc-4.10* hgb-12.9* hct-39.3* mcv-96 mch-31.5 mchc-32.8 rdw-14.4 plt ct-295 01:00pm blood wbc-10.9 rbc-3.96* hgb-12.6* hct-36.1* mcv-91 mch-31.9 mchc-35.0 rdw-14.0 plt ct-334 chemistries: 08:10am blood glucose-336* urean-19 creat-1.9* na-142 k-4.9 cl-116* hco3-12* angap-19 03:24pm blood glucose-169* urean-33* creat-3.3* na-136 k-5.1 cl-103 hco3-25 angap-13 01:00pm blood glucose-153* urean-14 creat-1.1 na-137 k-4.1 cl-98 hco3-30 angap-13 lfts: 08:10am blood alt-20 ast-15 ck(cpk)-163 alkphos-55 totbili-0.2 06:46pm blood ck(cpk)-278* 08:10am blood lipase-33 03:00am blood lipase-66* 03:26am blood lipase-124* iron studies: 02:46pm blood caltibc-239* vitb12-257 folate-13.1 ferritn-53 trf-184* 02:57am blood hapto-262* tfts: 08:10am blood tsh-8.0* 03:26am blood tsh-6.2* tox screen: 08:10am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:46pm blood ethanol-neg abg/lactate: 08:40am blood lactate-7.0* 08:40am blood type-art po2-119* pco2-44 ph-7.10* caltco2-14* base xs--15 -assist/con intubat-intubated 05:23am blood type-art temp-36.6 rates-/18 fio2-100 o2 flow-15 po2-122* pco2-43 ph-7.42 caltco2-29 base xs-3 intubat-not intuba comment-nebulizer 11:43am blood beta-hydroxybutyrate-test (< 0.3) brief hospital course: this 54 year old man with history of depression presents following overdose of metformin and levothyroxine with seizure. 1. overdose/ suicide attempt: through contacting outside sources it appears that mr. metformin, levothyroxine and available antidepressants in a suicide attempt. has been diagnosed with dysthymic disorder and dependent personality disorder in the past, and wife recently passed away. he was intubated at outside hospital for airway protection. once admitted to the micu he was started on a bicarbonate drip with toxicology, psychiatry and renal following. cvvh was started for rising creatinine and electrolyte abnormalities. the patient's laboratory values normalized before transfer from the micu. he was monitored with a 1:1 sitter and on haldol. his other psychiatric medicines were held in the micu. he was started oral risperidone with supervision on the floor. his lamictal and wellbutrin were held during the stay for suspicion of overdose with antidepressants. these medications may be resume per psychiatric evaluation. the patient was transferred to an acute psychiatric facility on discharge. 2. hypoxic respiratory failure: the patient was witnessed aspirating charcoal at osh. he was intubated for airway protection and hypoxic respiratory failure. he did not develop signs of bacterial pneumonia. he was successfully extubated and transferred on 3l nasal canula. there was a concern for pulmonary embolus based on a chest x-ray read, but ultrasound was unable to find a deep vein thrombosis. his hypoxia resolved after extubation. repeat cxr on showed near resolution of bibasilar opacities. 3. hypotension/hypertension: the patient developed hypotension secondary to overdose. he was started on levophed & neosynephrine for support. a tte ruled out cardiac etiology. he was successfully weaned and actually developed hypertension from agitation which was controlled with a nitroglycerin drip. the patient was started on amlodipine on transfer. he was weaned off of the nitroglycerin drip, and his hypertension was controlled on amlodipine and acei on discharge. 4. acute renal failure: the patient developed acute renal failure secondary to metformin overdose. he was started on continuous renal replacement therapy which was well tolerated. his urine output and renal function returned spontaneously and were stable on discharge. metformin was restarted for diabetes control. 5. ileus: the patient did not stool while intubated. he vomited once while extubated. enemas placed after extubation were successful in mobilizing his impacted charcoal. 6) leukocytosis: the patient was found to have a leukocytosis on admission, attributed to a combination of acute stress response from overdose and probably aspiration pneumonitis. no cultures grew positive and no antibiotics were continued in the micu and his white count resolved. 7) anemia: the patient was found to have an anemia with unknown baseline that trended down with repeated fluid hydration. no evidence of iron deficiency. b12 levels were low normal. hemolysis labs were negative. hematocrit was stable at 36 on discharge. 8) hypothyroidism: the patient's levothyroxine was held in the acute post-overdose situation. it was restarted when he showed clinical improvement. medications on admission: albuterol 2puffs q4h pnr colace 100mg qhs lamictal 50mg qhs metformin 500mg risperdal 2mg synthroid 112mcg daily wellbutrin 100mg zestril 20mg daily discharge medications: 1. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day). 2. risperidone 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for agitaiton. 3. amlodipine 2.5 mg tablet sig: three (3) tablet po daily (daily). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 6. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. 9. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 11. albuterol 90 mcg/actuation aerosol sig: inhalation four times a day as needed for shortness of breath or wheezing. discharge disposition: extended care facility: hospital discharge diagnosis: 1' diagnosis medication overdose acute renal failure diabetes mellitus discharge condition: stable discharge instructions: you were admitted with a diagnosis of overdosing on your medications metformin, levothyroxine, and anti-depressants. you were admitted to the icu for closer monitering and then transitioned to the general floor as your clinical condition improved. you will be discharged to a psychiatric facility. please take your medications as directed. we did not give you your lamictal and wellbutrin in the hospital. please return to the ed or call your primary care physician if you experience any of the following symptoms: chest pain, shortness of breath, palpitations, light-headedness or loss of consciousness, thoughts of wanting to hurt yourself or other people, or any other symptoms not listed here that warrant physician . followup instructions: with your pcp , within 1-2 weeks after discharge. with psychiatry as directed by your psychiatric facility. procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more hemodialysis venous catheterization for renal dialysis diagnoses: other primary cardiomyopathies acidosis anemia, unspecified acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other convulsions other and unspecified hyperlipidemia acute respiratory failure hypotension, unspecified paralytic ileus leukocytosis, unspecified suicide and self-inflicted poisoning by other specified drugs and medicinal substances other bipolar disorders poisoning by insulins and antidiabetic agents other specified pervasive developmental disorders, current or active state poisoning by thyroid and thyroid derivatives 

Answer: The patient is high likely exposed to