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: heparin agents / percocet attending: chief complaint: failure to decannulate major surgical or invasive procedure: bronchoscopy history of present illness: 66 f with history of cad s/p cabg , pci recently, osa, bipolar, on went to for an elective left hip replacement, which was complicated with post-op afib with rvr that required cardioversion. she became septic, had a vap secondary to pseudomonas, uti vre. she improved, was trached and pegged, and transferred to rehab. she was there for 2 months, where they could not decannulate her. bronch was done at - tracheomalacia was seen in the subglottic region to trach. she was transferred here for evaluation of tracheal stenosis after failed attempts at decannulation. . she was changed from a 6 uncuffed to a 7 cuffed trach. en route in ambulance, she had sob with frothy secretions. she had to stop at medical center for trach management, ct chest was done to assess for pe, she was suctioned and doing fine, then transferred here. . she was admitted to the ip service. she has been trached for months. she went for bronch today and ip found severe supraglottic edema compatible with gerd. ip decided not to do anything with her trach until this edema was fixed first. she was started on ppi. she had a trach change this afternoon, in which her trach was downsized back down to 6 uncuffed. she was going to be discharged and seen in 4 weeks by ip. . she decannulated herself today by coughing up her trach today, and a respiratory code was called on at 1430 when she became hypoxemic. ip came and changed her trach to a 7 cuffed trach, bronched her, saw frothy secretions in the trachea. she was significantly hypoxic: 7.37 / 53 / 54 / 32, and was hypertensive 220/120 during the code. blood / mucus was suctioned from her bronchi, and she was sitting up and coughing. she may have negative pressure pulmonary edema or diastolic dysfunction. she had normal vitals and was transferred to micu green for monitoring. . past medical history: s/p cabg left total hip replacement bipolar disorder depression afib chronic constipation trach and peg hit on fragmin (arixtra social history: noncontributory family history: noncontributory physical exam: vs: 99.3 / 120/65 / 90 / 34 / 97% on ps 400 / 20 / 8 / 8 / 0.8 gen: alert, in good mood, communicates clearly heent: trach site clean with minimal erythema lungs: diffuse rhonchi bilaterally heart: rrr, no m/r/g abd: soft, +bs, nd nt extr: no c/c/e neuro: gait not tested pertinent results: 08:06am blood hct-29.8* 04:30am blood wbc-6.5 rbc-3.17* hgb-9.6* hct-28.7* mcv-91 mch-30.3 mchc-33.4 rdw-19.3* plt ct-291 02:49pm blood wbc-8.8 rbc-3.82* hgb-11.6* hct-34.3* mcv-90 mch-30.3 mchc-33.7 rdw-18.9* plt ct-349 12:35am blood wbc-11.8* rbc-4.08* hgb-12.3 hct-36.4 mcv-89 mch-30.0 mchc-33.6 rdw-19.0* plt ct-351 04:30am blood neuts-74.7* lymphs-17.9* monos-3.7 eos-3.2 baso-0.5 02:49pm blood neuts-79.7* lymphs-14.4* monos-3.4 eos-2.2 baso-0.2 12:35am blood neuts-88.5* bands-0 lymphs-7.4* monos-3.3 eos-0.6 baso-0.2 04:30am blood anisocy-2+ macrocy-1+ microcy-1+ 02:49pm blood anisocy-2+ macrocy-1+ microcy-1+ 12:35am blood hypochr-normal anisocy-normal poiklo-normal macrocy-normal microcy-normal polychr-normal 04:30am blood plt ct-291 04:30am blood pt-13.4* ptt-30.5 inr(pt)-1.2* 02:49pm blood plt ct-349 02:49pm blood pt-13.1 ptt-50.3* inr(pt)-1.1 12:35am blood plt smr-normal plt ct-351 12:35am blood pt-12.9 ptt-30.4 inr(pt)-1.1 02:49pm blood ret aut-2.4 04:30am blood glucose-112* urean-22* creat-1.0 na-141 k-3.3 cl-103 hco3-32 angap-9 02:49pm blood glucose-209* urean-22* creat-1.1 na-136 k-3.6 cl-97 hco3-31 angap-12 12:35am blood glucose-129* urean-26* creat-1.1 na-138 k-4.1 cl-97 hco3-33* angap-12 02:49pm blood alt-7 ast-15 ld(ldh)-199 ck(cpk)-50 alkphos-87 amylase-52 totbili-0.8 02:49pm blood lipase-31 08:06am blood probnp-2166* 02:49pm blood ck-mb-notdone ctropnt-0.05* 04:30am blood calcium-8.9 phos-2.7 mg-1.8 02:49pm blood albumin-3.5 calcium-9.5 phos-3.9 mg-2.0 uricacd-11.6* iron-38 12:35am blood calcium-9.8 phos-3.9 mg-2.0 02:49pm blood caltibc-330 ferritn-280* trf-254 02:49pm blood tsh-1.8 02:27am blood type-art tidal v-400 peep-8 fio2-80 po2-90 pco2-47* ph-7.43 caltco2-32* base xs-5 aado2-451 req o2-75 intubat-intubated vent-imv 02:48pm blood type-art po2-54* pco2-53* ph-7.37 caltco2-32* base xs-3 intubat-not intuba 02:27am blood glucose-98 k-3.2* 02:27am blood freeca-1.19 brief hospital course: 66 f with history of copd with respiratory failure on tracheostomy since following l total hip replacement. she was brought in to be evaluated by interventional pulmonary for failure to decannulate. bronchoscopy show supraglottic edema in addition to tracheal stenosis. plan was to start her on ppi and follow up with interventional pulmonary in 4 weeks. on the medicine floor, she coughed up her trach tube and a respiratory code was called. she was recannulated and transferred to medical icu for overnight monitoring. throughout the night, her blood pressure was slightly low. it was likely medication related as it resolved by itself in the morning. she also had slight hematocrit drop, likely related to traumatic recannulation of her trach. she was initially on simv +ps 400 x20, peep 8, psv 8 and fio2 of 0.80. her cxr show interstitial edema, likely from negative pressure during her decannulation. her pulmonary edema resolved w/ positive pressure and she was eventually weaned to trach mask again. medications on admission: asa 81 qd lipitor 80 qd zyprexa 5 paxil 10 qd mvi combivent 6puff qid colace 100 senna 2 qhs lactulose 30 lasix 30 aldactone 30 metoprolol 25 ativan 1 q4 prn zegerid 40' discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 80 mg tablet : one (1) tablet po daily (daily). 3. olanzapine 5 mg tablet, rapid dissolve : one (1) tablet, rapid dissolve po bid (2 times a day). 4. paroxetine hcl 10 mg/5 ml suspension : ten (10) mg po daily (daily). 5. therapeutic multivitamin liquid : one (1) cap po daily (daily). 6. albuterol-ipratropium 103-18 mcg/actuation aerosol : six (6) puff inhalation q6h (every 6 hours). 7. docusate sodium 50 mg/5 ml liquid : one hundred (100) mg po bid (2 times a day). 8. lactulose 10 g/15 ml syrup : thirty (30) ml po bid (2 times a day). 9. furosemide 20 mg tablet : 1.5 tablets po bid (2 times a day). 10. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day): hold for bp<100. 11. lorazepam 1 mg tablet : one (1) tablet po q4h (every 4 hours) as needed for agitation. 12. zolpidem 5 mg tablet : two (2) tablet po hs (at bedtime). 13. acetaminophen 325 mg tablet : two (2) tablet po q4-6h (every 4 to 6 hours) as needed for pain. 14. spironolactone 25 mg tablet : one (1) tablet po bid (2 times a day). 15. ibuprofen 100 mg/5 ml suspension : six hundred (600) mg po q8h (every 8 hours) as needed for pain. 16. fluticasone 50 mcg/actuation aerosol, spray : one (1) spray nasal daily (daily). 17. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 18. fondaparinux 2.5 mg/0.5 ml syringe : 2.5 mg subcutaneous daily (daily). discharge disposition: extended care facility: discharge diagnosis: supraglottic edema likely from gastroesophageal reflux and tracheal stenosis discharge condition: stable on trach mask. discharge instructions: please call dr. office to schedule a repeat bronchoscopy in 4 weeks. call if you develop any problems with your trach tube. continue ppi . please continue all medications prior to admission. followup instructions: schedule bronch in 4 weeks( dr. office ) procedure: bronchoscopy through artificial stoma replacement of tracheostomy tube replacement of tracheostomy tube diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified esophageal reflux congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation acute on chronic diastolic heart failure coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status percutaneous transluminal coronary angioplasty status hypotension, unspecified other constipation hypoxemia bipolar disorder, unspecified chronic respiratory failure hip joint replacement other diseases of trachea and bronchus mechanical complication of tracheostomy edema of larynx 

Answer: The patient is high likely exposed to