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: patient recorded as having no known allergies to drugs attending: chief complaint: morbid obesity major surgical or invasive procedure: 1. laparoscopic converted to open approach. 2. roux-en-y gastric bypass. 3. repair of colotomy (transverse colon). 4. repair of ventral hernias x2. 1. exploratory laparotomy. 2. endoscopy with clot evacuation. history of present illness: has class iii morbid obesity with weight of 278.4 pounds as of (his initial screen weight on was 282.8 pounds), height 66 inches and bmi of 44.9. his previous weight loss efforts has included most recently hmr for 26 weeks in losing 35 pounds that he is still maintaining. he lost 120 pounds with 38 weeks of hmr in that he kept off for 15 months plus multiple other diets but has not been able to maintain the weight loss. past medical history: pmh 1. hypertension 2. paroxysmal atrial fibrillation for about 10 years 3. obstructive sleep apnea on cpap 4. hyperlipidemia 5. fatty liver by ultrasound psh none social history: tobacco: none alcohol at least two cocktails one to two times a week he is employed in the insurance business as a claims adjuster. he has no children and lives with his spouse age 52. family history: father deceased age 71 of cancer, heart disease and obesity. physical exam: blood pressure was 162/94, pulse 82, respirations 16 and o2 saturation 96% on room air. on physical examination was casually dressed, pleasant and in no distress. his skin was warm, dry with no rashes, and there were a few follicular lesions on trunk and benign cherry hemangiomas. sclerae were anicteric, conjunctiva clear, pupils were equal round and reactive to light, fundi were normal, mucous membranes were moist, tongue was pink and the oropharynx was without exudates or hyperemia. trachea was in the midline and the neck was supple with no adenopathy, thyromegaly, carotid bruits or jvd. chest was symmetric and the lungs were clear to auscultation bilaterally with good air movement. cardiac exam was regular rate and rhythm with normal s1 and s2, no murmurs, rubs or gallops. the abdomen was obese but soft and non-tender, non-distended with positive bowel sounds and no appreciable masses or incision scars, there was a moderate sized ventral hernia that was reducible. there was no spinal tenderness or flank pain. lower extremities were without edema, venous insufficiency or clubbing, perfusion was good, pulses were intact. there was no evidence of joint swelling or inflammation of the joints. there were no focal neurological deficits and his gait was normal. pertinent results: abdominal us : 1. echogenic liver consistent with fatty infiltration. other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. 2. no evidence of cholelithiasis. 12:15pm wbc-13.9*# rbc-4.87 hgb-14.2 hct-41.7 mcv-86 mch-29.1 mchc-34.0 rdw-14.2 07:40pm wbc-19.4* rbc-4.03* hgb-11.5* hct-33.8* mcv-84 mch-28.5 mchc-34.0 rdw-13.6 11:30pm wbc-19.6* rbc-3.35* hgb-9.8* hct-28.3* mcv-85 mch-29.3 mchc-34.7 rdw-13.7 hct : 34.4 brief hospital course: mr. was admitted to the hospital and taken to the operating room where he underwent a laparoscopic gastric bypass, repair of a colotomy in the transverse colon and hernia repair. ( see formal operative note for details ) he tolerated the procedure well and returned to the pacu in stable condition. on the evening of surgery he gradually became tachycardic and pale. his pre op hematocrit was 41 and post op drifted to 28. based on his symptoms and decreasing hematocrit he was taken back to the operating room for exploration. no active bleeding was identified so he then underwent endoscopy which revealed adherent clot at the gj anastomosis. ( see formal operative note for details ) he was transfused both intra and post op and always maintained stable hemodynamics. his tachycardia resolved. following exploration he was transferred to the sicu for close monitoring. he developed paroxysmal atrial fibrillation on post op day #1 and was treated with iv lopressor. over the next 48 hours he continued to have bursts of paf eventually controlled with a diltiazem drip and repletion of electrolytes. paf has been a pre op problem but so infrequent that he was not on any medications for rate control. he was evaluated by the cardiology service who recommended lopressor 25 mg po bid and titrate up as needed for rate control while the diltiazem was weaned off. eventually he was controlled with 50mg po tid. following transfer to the surgical floor he continued to make good progress. he started a stage 1 diet and over a 48 hour period was advanced to stage 3. he developed some gas and bloating on stage 3 and was eventually switched to a soy based diet which he tolerated much better. he was up and walking independently and his hematocrit remained stable. his surgical sites were healing well and after a prolonged hospital course he was discharged to home and will follow up with dr. with in 2 weeks. at that time his staples will be removed. medications on admission: 1. aspirin 81 mg daily 2. vitamin c 1000 mg daily 3. vitamin b complex daily 4. biotin 300 mg daily 5. vitamin d 1000 units daily 6. folic acid 0.4 mg daily 7. glucosamine 1500 mg daily 8. garlic one tablet daily 9. iron 18 mg daily 10. magnesium 400 mg daily 11. potassium gluconate 595 mg daily 12. mvi 1 tab daily 13. omega-3 fatty acids 1000 mg 200 mg daily discharge medications: 1. multivitamins tablet, chewable sig: one (1) tablet, chewable po twice a day. 2. roxicet 5-325 mg/5 ml solution sig: ml po every four (4) hours as needed for pain. disp:*500 ml* refills:*0* 3. colace 50 mg/5 ml liquid sig: ten (10) ml po twice a day. disp:*250 ml* refills:*2* 4. vitamin d-3 1,000 unit tablet, chewable sig: one (1) tablet, chewable po once a day. 5. potassium gluconate 595 (99) mg tablet sig: one (1) tablet po once a day: please crush. 6. magnesium oxide 400 mg tablet sig: one (1) tablet po once a day: please crush. 7. actigall 300 mg capsule sig: one (1) capsule po twice a day: empty capsule in waater and mix. disp:*60 capsule(s)* refills:*4* 8. zantac 15 mg/ml syrup sig: ten (10) ml po twice a day. disp:*250 * refills:*2* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. hypertension. 2. morbid obesity. 3. obstructive sleep apnea. 4. hyperlipidemia 5. acute blood loss anemia 6. paroxysmal atrial fibrillation discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. diet: stay on stage iii diet until your follow up appointment. do not self advance diet, do not drink out of a straw or chew gum. medication instructions: * please follow-up with your pcp or cardiologist regarding starting metoprolol for paroxysmal a-fib. resume your home medications, crush all pills. you will be starting some new medications: 1. you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. 2. you should begin taking a chewable complete multivitamin with minerals. no gummy vitamins. 3. you will be taking zantac liquid 150 mg twice daily for one month. this medicine prevents gastric reflux. 4. you will be taking actigall 300 mg twice daily for 6 months. this medicine prevents you from having problems with your gallbladder. 5. you should take a stool softener, colace, twice daily for constipation as needed, or until you resume a normal bowel pattern. 6. you must not use nsaids (non-steroidal anti-inflammatory drugs) examples are ibuprofen, motrin, aleve, nuprin and naproxen. these agents will cause bleeding and ulcers in your digestive system. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: , rd phone: date/time: 3:00 provider: , md phone: date/time: 3:30 procedure: suture of laceration of large intestine other gastroenterostomy without gastrectomy reopening of recent laparotomy site repair of other hernia of anterior abdominal wall transabdominal endoscopy of small intestine diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation morbid obesity paralytic ileus tachycardia, unspecified other chronic nonalcoholic liver disease other ventral hernia without mention of obstruction or gangrene laparoscopic surgical procedure converted to open procedure accidental cut, puncture, perforation or hemorrhage during surgical operation other acute postoperative pain dietary surveillance and counseling 

Answer: The patient is high likely exposed to