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: iodine-iodine containing attending: chief complaint: shortness of breath and jaw pain major surgical or invasive procedure: coronary artery bypass grafting times 5 with left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to diagonal artery and sequential saphenous vein graft to the first obtuse marginal artery, second obtuse marginal artery and the left posterior descending artery history of present illness: 71 year old male who in mid of this year presented to in with rapidly progressive shortness of breath and some jaw discomfort. he had congestive heart failure diagnosed and had a brief trial of noninvasive ventilation, which improved his breathing somewhat. he was diuresed aggressively and transferred to for further workup. there he was diagnosed with a non-st elevation myocardial infarction by troponins. he underwent further diuresis and then had a cardiac catheterization by dr. showing multivessel coronary artery disease with anatomy as outlined below. he was evaluated by ct surgery and was deemed not a good candidate for bypass grafting (not get a clear sense of why). the patient seems to think this was because of lack of suitable veins in the legs (?or poor touchdown targets). regardless, his medical therapy was optimized and he was discharged on dual antiplatelet therapy including low-dose aspirin and clopidogrel. he was diuresed and his discharge weight was 126.5 kilograms (280 lbs). he has recently been seen by dr. who referred him to dr. for possible coronary artery bypass surgery. past medical history: - longstanding insulin-requiring diabetes - obesity - multivessel coronary artery disease - hypertension - dyslipidemia - carotid stenosis s/p post left cea - colon cancer s/p partial colectomy in his 40s with subsequent negative colonoscopies - orthostatic hypotension - charcot foot - depression - neuropathy s/p post left cea s/p partial colectomy s/p cholecystectomy s/p abdominal hernia repair s/p multiple foot surgeries for charcot foot s/p bilateral cataract surgery s/p cervical fusion social history: lives with: wife contact: wife phone # tion: retired barber, bartender and cook cigarettes: smoked no yes other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: the patient has a father and mother with type 2 diabetes and a daughter with cancer. physical exam: vital signs sheet entries for : bp: 120/55. heart rate: 63. resp. rate: 18. pain score: 0. o2 saturation%: 99. height: weight: 279lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right:1+ left:1+ dp right:1+ left:1+ pt :1+ left:1+ radial right:1+ left:1+ carotid bruit - right: negative left: cea pertinent results: intra-op tee: conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is low normal (lvef 50-55%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. the left coronary cusp is immobile. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). no aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is a paced. the patient on a phenylephrine infusion. biventricular function is unchanged. mitral regurgitation is unchanged. the aorta is intact post-decannulation. 04:41am blood wbc-8.7 rbc-2.93* hgb-8.9* hct-27.1* mcv-93 mch-30.4 mchc-32.8 rdw-15.0 plt ct-259 02:20am blood pt-14.2* ptt-29.0 inr(pt)-1.3* 06:06am blood glucose-165* urean-63* creat-1.5* na-142 k-4.0 cl-105 hco3-27 angap-14 , m 71 radiology report chest port. line placement study date of 2:38 pm , csru 2:38 pm chest port. line placement; -76 by same physician # reason: s/p line change final report ap chest, 2:39 p.m. history: assess central line placement. impression: ap chest compared to , 8:49 a.m.: right internal jugular line inserted via exchange terminates at the origin of the svc. there is no pneumothorax or associated mediastinal widening. moderate cardiomegaly is stable. right lung is clear. band of atelectasis in the left mid lung has coalesced. left lung is otherwise clear. dr. approved: sun 6:11 am brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 5 (left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to diagonal artery and sequential saphenous vein graft to the first obtuse marginal artery, second obtuse marginal artery and the left posterior descending artery)with dr. . cross-clamp time:97 minutes.pump time: 111 minutes. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. he arrived to the unit fully vented, av paced over junctional rhythm 40's but stable, required neo for post-op hypotension. neo was weaned off successfully. extubated the morning of pod#1 without difficulty. he has a history of sleep apnea and required cpap at night. his rhythm returned to sr with marginal bloodpressure. pw remained in and betablockade was delayed. pod # 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact but was frequently noted to be dropping things due to hand edema and weak hand grasps. he has at baseline an elevated creatinine and it peaked at 2.7. he was started on lasix and was gently diuresed towards his pre-op weight. on pod#4 he transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod #6 the patient was stable, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to in good condition with appropriate follow up instructions. medications on admission: atorvastatin - 40 mg tablet - 1 tablet(s) by mouth once a day dose increased . please return for fasting blood tests in 6 to 8 wks (late ). clopidogrel - (prescribed by other provider) - 75 mg tablet - 1 tablet(s) by mouth once a day duloxetine - (prescribed by other provider) - 60 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day econazole - 1 % cream - moderate amount twice a day as needed for area in skin folds where rash famotidine - 40 mg tablet - 1 tablet(s) by mouth twice a day as needed for dydpepsia or heartburn fenofibrate micronized - (restarting after admission) - 67 mg capsule - 1 capsule(s) by mouth once daily with food replaces tricor. dose decreased . fludrocortisone - (dose adjustment - no new rx) - 0.1 mg tablet - 1 tablet(s) by mouth twice a day fluoxetine - (prescribed by other provider: ) - 20 mg tablet - 1 tablet(s) by mouth once a day furosemide - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day gabapentin - (dose adjustment - no new rx) - 800 mg tablet - one tablet(s) by mouth in evening taking 100 mg in am, 500mg in pm. insulin asp prt-insulin aspart - (prescribed by other provider) - 100 unit/ml (70-30) solution - 36 units sq once a day insulin aspart - 100 unit/ml insulin pen - as directed 6 units twice a day isosorbide mononitrate - (prescribed by other provider) - 30 mg tablet extended release 24 hr - 1 tablet(s) by mouth once a day metoprolol succinate - (prescribed by other provider) - 25 mg tablet extended release 24 hr - 1 tablet(s) by mouth once a day nystatin - 100,000 unit/gram powder - liberal amount twice daily to area under skin folds omega-3 acid ethyl esters - 1 gram capsule - 1 (one) capsule(s) by mouth twice a day oxycodone-acetaminophen - 5 mg-325 mg tablet - 1 tablet(s) by mouth every 8 to 12 hours as needed for pain topiramate - (prescribed by other provider: ) - 100 mg tablet - 1 (one) tablet(s) by mouth once a day in addition to 25 mg (total 125mg) medications - otc accu-chek comfort curve - strip - test sugars three times a day as needed aspirin - (prescribed by other provider) - 81 mg tablet - 1 tablet(s) by mouth one time per day cholecalciferol (vitamin d3) - (otc) - 1,000 unit capsule - 1 capsule(s) by mouth one per day compression socks, large - misc - apply in am, off at bedtime. once a day 20-30mmhg thigh-high graduated compression stockings, 2 pair please. diagnosis: autonomic neuropathy 337.9 cyanocobalamin (vitamin b-12) - 1,000 mcg tablet - 1 tablet(s) by mouth one time per day --------------- --------------- --------------- --------------- plavix - last dose: today discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 7. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 8. gabapentin 100 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 9. gabapentin 300 mg capsule sig: one (1) capsule po qpm (once a day (in the evening)). 10. topiramate 100 mg tablet sig: 1.25 tablets po daily (daily). 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po daily (daily). 14. lasix 20 mg tablet sig: one (1) tablet po twice a day for 10 days. 15. insulin nph & regular human 100 unit/ml (70-30) insulin pen sig: one (1) 36 units subcutaneous q am. 16. insulin regular human 100 unit/ml solution sig: one (1) per attached sliding scale injection four times a day. discharge disposition: extended care facility: tba discharge diagnosis: - longstanding insulin-requiring diabetes - obesity - multivessel coronary artery disease - hypertension - dyslipidemia - carotid stenosis s/p post left cea - colon cancer s/p partial colectomy in his 40s with subsequent negative colonoscopies - orthostatic hypotension - charcot foot - depression - neuropathy past surgical history: s/p post left cea s/p partial colectomy discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office wound care phone: date/time: 10:30 surgeon dr. , md phone: date/time: 1:15 cardiologist dr. date/time: 10:00 primary care dr. , md phone: date/time: 11:20 in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** provider: , dpm phone: date/time: 1:20 procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia long-term (current) use of insulin other acquired absence of organ old myocardial infarction personal history of malignant neoplasm of large intestine obesity, unspecified arthrodesis status arthropathy associated with neurological disorders personal history, urinary (tract) infection peripheral autonomic neuropathy in disorders classified elsewhere acquired absence of intestine (large) (small) body mass index 38.0-38.9, adult 

Answer: The patient is high likely exposed to