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: codeine / darvocet-n 50 / fentanyl / flexeril / morphine / astramorph-pf / percocet / skelaxin / biaxin / clindamycin / oxaprozin / diflunisal / etodolac / piroxicam / ketorolac / cytotec / zofran / reglan / methadone / dilaudid / vicodin / prochlorperazine attending: chief complaint: back pain major surgical or invasive procedure: anterior fusion t12-l5 posterior fusion t10-l5 history of present illness: ms. has a long history of back and leg pain. she has attempted conservative therapy including physical therapy and has failed. she now presents for surgical intervention. past medical history: carcinoid tumor renal calculi scoliosis social history: denies family history: n/c physical exam: a&o x 3; nad rrr cta b abd soft nt/nd bue- good strength at deltoid, biceps, triceps, wrist flexion/extension, finger flexion/extension and intrinics; sensation intact c5-t1 dermatomes; - , reflexes symmetric at biceps, triceps and brachioradialis ble- good strength at hip flexion/extension, knee flexion/extension, ankle dorsiflexion and plantar flexion, /fhl; sensation intact l1-s1 dermatomes; - clonus, reflexes symmetric at quads and achilles pertinent results: 05:55am blood wbc-3.7* rbc-3.51*# hgb-10.5*# hct-31.4* mcv-90 mch-30.0 mchc-33.6 rdw-14.9 plt ct-212 11:05pm blood hct-30.6*# 03:54am blood wbc-4.3 rbc-2.63* hgb-8.2* hct-24.1* mcv-92 mch-31.1 mchc-33.9 rdw-15.4 plt ct-164 04:14pm blood wbc-5.5 rbc-2.54* hgb-7.8* hct-23.1* mcv-91 mch-30.7 mchc-33.8 rdw-15.4 plt ct-130* 01:52am blood wbc-5.4 rbc-2.60* hgb-7.9* hct-23.7* mcv-91 mch-30.5 mchc-33.6 rdw-15.4 plt ct-106* 01:40am blood wbc-10.1 rbc-3.31* hgb-10.1*# hct-29.0* mcv-88 mch-30.6 mchc-35.0 rdw-16.0* plt ct-120* 04:11am blood wbc-12.7* rbc-4.35 hgb-13.3 hct-38.2 mcv-88 mch-30.5 mchc-34.7 rdw-16.5* plt ct-134* 05:59pm blood wbc-8.3# rbc-2.88* hgb-9.3* hct-26.7* mcv-93 mch-32.4* mchc-35.0 rdw-13.7 plt ct-210 05:55am blood glucose-107* urean-16 creat-0.4 na-140 k-3.5 cl-105 hco3-27 angap-12 03:54am blood glucose-96 urean-19 creat-0.4 na-142 k-3.5 cl-105 hco3-28 angap-13 01:52am blood glucose-83 urean-18 creat-0.7 na-140 k-3.9 cl-106 hco3-26 angap-12 01:58pm blood glucose-121* urean-16 creat-0.7 na-138 k-3.8 cl-104 hco3-27 angap-11 10:05pm blood glucose-153* urean-10 creat-0.6 na-139 k-4.1 cl-108 hco3-25 angap-10 05:55am blood calcium-8.1* phos-2.5* mg-1.5* 04:14pm blood calcium-7.9* phos-1.9* mg-1.7 10:05pm blood calcium-8.5 phos-3.5 mg-1.4* brief hospital course: ms. was admitted to the spine surgery service on and taken to the operating room for t12-l5 release through an anterior approach. please refer to the dictated operative note for further details. the surgery was without complication and the patient was transferred to the pacu in a stable condition. chest tube was placed for drainage teds/pnemoboots were used for postoperative dvt prophylaxis. the acute and chronic pain services were consulted due to her multiple medication allergies. intravenous antibiotics were given per standard protocol. initial postop pain was controlled with a dilaudid pca and ketamine infusion. on hd#2 she returned to the operating room for a scheduled t10-l5 posterior fusion as part of a staged 2-part procedure. please refer to the dictated operative note for further details. the second surgery was also without complication and the patient was transferred to the t/sicu in stable condition. postoperative hct was low and she was transfused prbcs. a bupivicaine epidural pain catheter placed at the time of the posterior surgery remained in place until postop day 2 when it was removed. she was kept npo until bowel function returned then diet was advanced as tolerated. the patient was transitioned to oral pain medication when tolerating po diet. foley was removed on pod#4 from the second procedure. she was for for a tlso brace for ambulation. physical therapy was consulted for mobilization oob to ambulate. hospital course was otherwise unremarkable. on the day of discharge the patient was afebrile with stable vital signs, comfortable on oral pain control and tolerating a regular diet. medications on admission: tizanidine ativan discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. tizanidine 2 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for pain. 6. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 7. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 8. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for anxiety. 9. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime). 10. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 11. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime). 12. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 13. tizanidine 2 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for pain. 14. meperidine 50 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. discharge disposition: extended care facility: center for extended care at discharge diagnosis: scoliosis acute post-op blood loss anemia post-op pain discharge condition: good discharge instructions: you have undergone the following operation: anterior/posterior thoracolumbar decompression with fusion immediately after the operation: -activity: you should not lift anything greater than 10 lbs for 2 weeks. you will be more comfortable if you do not sit or stand more than ~45 minutes without getting up and walking around. -rehabilitation/ physical therapy: o2-3 times a day you should go for a walk for 15-30 minutes as part of your recovery. you can walk as much as you can tolerate. olimit any kind of lifting. -diet: eat a normal healthy diet. you may have some constipation after surgery. you have been given medication to help with this issue. -brace: you have been given a brace. this brace is to be worn for comfort when you are walking. you may take it off when sitting in a chair or while lying in bed. -wound care: remove the dressing in 2 days. if the incision is draining cover it with a new sterile dressing. if it is dry then you can leave the incision open to the air. once the incision is completely dry (usually 2-3 days after the operation) you may take a shower. do not soak the incision in a bath or pool. if the incision starts draining at anytime after surgery, do not get the incision wet. cover it with a sterile dressing. call the office. -you should resume taking your normal home medications. no nsaids. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so please plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in or fax narcotic prescriptions (oxycontin, oxycodone, percocet) to your pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. please call the office if you have a fever>101.5 degrees fahrenheit and/or drainage from your wound. physical therapy: activity: out of bed w/ assist thoracic lumbar spine orthoses: when ambulating treatments frequency: please continue to change the dressing daily. followup instructions: with dr. in 10 days procedure: dorsal and dorsolumbar fusion of the anterior column, anterior technique dorsal and dorsolumbar fusion of the posterior column, posterior technique insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt insertion of interbody spinal fusion device fusion or refusion of 4-8 vertebrae insertion of recombinant bone morphogenetic protein diagnoses: other iatrogenic hypotension hypocalcemia acute posthemorrhagic anemia nausea with vomiting scoliosis [and kyphoscoliosis], idiopathic drug-induced delirium intravenous anesthetics causing adverse effects in therapeutic use lumbosacral spondylosis without myelopathy insomnia, unspecified other acute postoperative pain 

Answer: The patient is high likely exposed to