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: no known allergies / adverse drug reactions attending: chief complaint: paraesophageal hernia major surgical or invasive procedure: parasesophageal hernia repair history of present illness: mr. is a 76 year old male with multiple medical problems who was referred to dr. by his pcp 2 reasons. he has a large paraesophageal hernia by ct scan and exhibits symptoms of occasional regurgitation. he has no nausea or vomiting. he is able to eat all foods. his weight is down 10 lbs over the last year and he was also recently diagnosed with prostate cancer. his second issue is that of a thoracoabdominal aneurysym 4 cm at its greatest diameter and he was also referred for possible stent placement. his main complaint is of a sore throat for the past 3 weeks. he occasionally coughs up thin phlegm, denies sob or wheezing. past medical history: 1. hypertension 2. diabetes 3. gout 4. arthritis 5. prostate cancer 6. thoracoabdominal aneurysm 1. s/p appy 2. s/p rih 3. s/p right ear tumor excision years social history: cigarettes: never ex-smoker current pack-yrs:> 80 pk years__ quit: _1998_____ etoh: no yes drinks/day: __occasional beer___ drugs: exposure: no yes radiation asbestos other: occupation: marital status: married single lives: alone w/ family other: family history: non contributory physical exam: vs:98.6 71 147/68 18 94% on room air gen: aox3 nad cor: rrr res: ctab abd: soft, nt/nd wounds: lap port sites c/d/i ext: wwp without edema pertinent results: 02:38am blood wbc-13.3*# rbc-3.68* hgb-11.8* hct-33.5* mcv-91 mch-32.0 mchc-35.1* rdw-13.6 plt ct-211 02:38am blood glucose-147* urean-23* creat-0.8 na-137 k-4.0 cl-106 hco3-23 angap-12 10:43pm blood type-art po2-177* pco2-27* ph-7.50* caltco2-22 base xs-0 10:43pm blood lactate-1.6 03:50pm blood hgb-12.9* calchct-39 03:50pm blood freeca-1.18 brief hospital course: the patient was admitted to the thoracic surgical service following a repair of a paraesophageal hernia. please see the dictated operative note for further details of the patient's procedure. postoperatively he required reintubation for agitation and was kept in the surgical intensive care unit overnight. he was subsequently extubated on pod1. he had some pain control issues initially which was accompanied by some hypertension and svt, however with good pain control these symptoms resolved. he had an upper gi study which demonstrated good flow with no leak hence he was started on sips and advanced to a soft liquid diet. his pain was well controlled with oral oxycodone elixir. his vital signs were stable within normal limits. he was ambulating and voiding, and was judged to be doign sufficiently well for discharge. medications on admission: 1. allopurinol - (prescribed by other provider) - 300 mg tablet - 1 tablet(s) by mouth once a day 2. amlodipine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day 3. atenolol - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth once a day 4. metformin - (prescribed by other provider) - 500 mg tablet - 1 tablet(s) by mouth once a day 5. simvastatin - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day discharge medications: 1. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 4. oxycodone 5 mg/5 ml solution sig: 5-10 mg po q4h (every 4 hours) as needed for pain. disp:*200 ml* refills:*0* 5. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic tid (3 times a day). 6. allopurinol, 300mg po daily 7. metformin, 500mg po daily discharge disposition: home discharge diagnosis: s/p paraesophageal hernia repair discharge condition: mental status is clear and coherent at the patient's baseline. ambulating and voiding without difficulty. tolerating full liquid diet. pain is controlled. discharge instructions: you were admitted to the hospital for a paraesophageal hernia repair. pain -acetaminophen 650 mg every 6 hours as needed for pain -oxycodone 5-10 mg every 4 hours as needed for pain, you may take this less often if you are able. -take stool softners with narcotics -no driving while taking narcotics activity -shower daily. wash incision with mild soap and water, rinse, pat dry -no tub bathing, swimming or hot tubs until incision healed -no lotions or creams to incision -walk 4-5 times a day for 10-15 minutes increase to a goal of 30 minutes daily diet: please stay on a full liquid diet for several days. eat small frequent meals. sit in chair for all meals. remain sitting up for 30-45 minutes after all meals no carbonated drinks followup instructions: call dr. office to schedule a follow up appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours repair of diaphragmatic hernia with thoracic approach, not otherwise specified laparoscopic procedures for creation of esophagogastric sphincteric competence laparoscopic repair of diaphragmatic hernia, abdominal approach diagnoses: acidosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified gout, unspecified diaphragmatic hernia without mention of obstruction or gangrene long-term (current) use of insulin malignant neoplasm of prostate rheumatoid arthritis acute respiratory failure following trauma and surgery 

Answer: The patient is high likely exposed to