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: lipitor attending: chief complaint: consulted for bilateral sdh, xfer from dr. clinic major surgical or invasive procedure: bilateral frontal crani for sdh evacuation history of present illness: 71y m with afib on warfarin, now 2mos s/p resection of grade i left sphenoid- meningioma (by dr. on , followed by dr. in clinic since that time) who p/w 1-1.5wk of lethargy (per wife) and progressive pain and weakness (arm and leg, now cannot walk; "drags foot"). mri showed evolving/heterogeneous large left-sided sdh as well as smaller anterior right sdh. he was sent to our ed for neurosurgical evaluation. past medical history: atrial fibrillation(on coumadin) osteoarthritis s/p hemithyroidectomy for multinodular thyroid dyslipidemia hypertension s/p hernia repair s/p appy social history: patient lives with wife and has 7 grown kids. he denies etoh, tobacco, or h/o ivdu. he worked for the power company for 40 years. family history: non contributory physical exam: physical exam: t 97.9 hr 80 bp 113/78 rr 16 sao2 97% ra gen: wd/wn, comfortable, nad. heent: pupils: eoms neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 2mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric except for r>l brow elevation. viii: hearing intact to voice and equal to finger rub bilat. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. mild right pronator drift. no abnormal movements or tremors. strength full power throughout except for right deltoid (4+/5), right ip (4+/5). sensation: intact to light touch, propioception, and pinprick bilaterally. reflexes: b t br pa ac right 2 2 2 2 1 left 2 2 2 2 1 toes mute on right and mute to down-going on left. coordination: substantial dysmetria on finger-nose-finger testing on the right and on rapid alternating hand movements on the right. left , , and hks relatively normal. exam on discharge: a&ox3 perrl eoms intact face symmetrical tongue midline motor: throughout no pronator drift sensation intact incision: c/d/i with dissolvable sutures pertinent results: admission labs: 03:00pm pt-19.0* ptt-25.8 inr(pt)-1.7* 03:00pm wbc-9.3# rbc-4.13* hgb-13.5* hct-39.1* mcv-95 mch-32.7* mchc-34.6 rdw-13.5 03:00pm urea n-19 creat-0.9 sodium-142 potassium-3.8 chloride-108 total co2-27 anion gap-11 04:20pm pt-19.6* ptt-23.3 inr(pt)-1.8* discharge labs: imaging: mri head : impression: 1. interval development of large, left greater than right, subdural hematomas. this was discussed with , neurology nurse practitioner, at 4:45 p.m. on . she was already aware of the results and the patient was in the emergency room being treated. 2. status post resection of left sphenoid meningioma with no definite residual or recurrent tumor although this region is largely obscured by hematoma. ct head " no change since prior mri. interval development of large left greater than right subdural hematoma compared to prior ct of . ct head : 1. post prior partial evacuation of bifrontal sdh with residual blood products. 2. small amount of new sah along the right frontal convexity, likely postoperative. brief hospital course: the patient was admitted from the emergency department for reversal of inr to less than 1.5 and q1 neurochecks. in the evening, he was taken to the or for bilateral craniotomies for evacuation of subdural hematomas. postoperatively, he returned to the icu for continued neuro checks, tight bp control to less than 140 and anti-seizure prophylaxis. a post op head ct demonstrated good evacuation of the subdural collections. the patient's neurologic status remained stable post-operatively. two subdural drains were placed at 10 cm below the eam and drained continuously for three days. the patient's subsequent hospital course showed improved speech. on , subdural drains were removed without complication on this day. pt did get oob to chair with the help of nursing staff with plan to see physical therapy on the morning of who recommended one more visit and then patient can be discharged home with a home safety evaluation. medications on admission: amlodipine - 5 mg tablet - 1 tablet(s) by mouth qam colesevelam - 625 mg tablet - 3 tablet(s) by mouth twice a day digoxin - 125 mcg tablet - 1 tablet(s) by mouth once a day ezetimibe - 10 mg tablet - 1 tablet(s) by mouth once a day levetiracetam - 500 mg tablet - 2 tablet(s) by mouth twice a day metoprolol succinate - 200 mg tablet sustained release 24 hr - 1 tablet(s) by mouth once a day modafinil - 100 mg tablet - 1 tablet(s) by mouth twice a day niacin - 500 mg tablet sustained release - 1 tablets(s) by mouth twice a day warfarin - 5 mg tablet - 2 tablet(s) by mouth once a day medications - otc fish oil-dha-epa - 1,200 mg-144 mg capsule - 2 capsule(s) by mouth once a day folic acid - (prescribed by other provider; otc) - 0.8 mg tablet - tablet(s) by mouth daily discharge medications: 1. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 2. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 3. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 4. modafinil 100 mg tablet sig: one (1) tablet po bid (2 times a day). 5. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po bid (2 times a day). 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 7. cholestyramine-sucrose 4 gram packet sig: one (1) packet po daily (daily). 8. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: bilateral subdural hematomas. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions wound care ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may shower 1 week after your procedure ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. medications ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? if you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin, prior to your surgery, you may safely resume taking this after follow up with dr. . ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast at follow up. -please return to the neurosurgery office for removal of staples on . an appointment can be made by calling -you have absorbable sutures that do not require suture removal. procedure: incision of cerebral meninges diagnoses: pure hypercholesterolemia unspecified essential hypertension atrial fibrillation compression of brain long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified other postprocedural status subdural hemorrhage 

Answer: The patient is high likely exposed to