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: bladder tumor major surgical or invasive procedure: cystoscopy, turbt - dr. history of present illness: 83yom hx htn, dm, chf, presented for anesthesia assisted, urological transurethreal resection of presumed bladder cancer, admitted to for post-procedure monitoring given significant disease. over previous 2 months, pt has had hematuria, in addition to multiple utis, without resolution with abx. dr. from urology performed outpt cystoscopy, showing bladder tumors, c/w bladder ca; was scheduled for transurethral bx and removal of tumors with anesthesia assitance, given past hx of cva. on day of admit to , pt underwent transurethral resection of tumour, 45min procedure, stable hemodynamics throughout procedure. sbp prior to procedure 180, kept on peripheral phenylephrine throughout procedure to maintain maps (unclear if bps dropped throughout procedure). patient was transferred to pacu with pressor off and stable hemodynamics then transferred to in stable condition. past medical history: pmh: cri, baseline 2.5-3.5 niddm ami pvd: s/p rle bypass , left fem bypass, angioplasty of left fem-at bypass stenosis hyperlipidemia gallstones s/p ercp w/ cbd placement needs aaa (3cm stable sine ) elevated alk phos embolic cva, seven cva's since most recently in . afib/flutter s/p ablation , eps syncope htn renal arteries no stenosis by cath s/p tte w/ ef to be newly depressed at 30-35% with left ventricular hypertrophy and +mr. w/ reversible defect psh: r fem in situ l fem in situ vein angioplasty l fem artery social history: married for 53 years with three sons. they have assistance with cleaning and cooking at home through elderly affairs assistance. his son manages all their bills and mail and lives upstairs. wife is legally blind and is a care taker for mr. . the patient walks unassisted now. he is very hard of hearing. +80 ppy history, quit . no etoh or illicits. family history: nc physical exam: 97.1, 57, 142/51, 13, 100%ra physical exam general: pleasant, well appearing male in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp=flat lungs: mild exp wheezes abdomen: nabs. soft, nt, nd. no hsm extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. cn 2-12 grossly intact. psych: listens and responds to questions appropriately, pleasant brief hospital course: 83yom hx htn, dm, chf, presented for anesthesia assisted, urological transurethreal resection of presumed bladder cancer, admitted to for post-procedure monitoring given significant disease. in , he was found to possibly have osa, monitored on continous o2 and telemetry, no events. he was transferred out of icu pod1. urine clear off cbi pod2 and foley removed. he passed voiding trial and discharged home in stable condition. he will follow-up with dr. of sleep clinic for osa work-up, per icu team and respiratory. medications on admission: amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). finasteride 5 mg tablet sig: one (1) tablet po daily (daily). furosemide 20 mg tablet sig: one (1) tablet po daily (daily). senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). discharge medications: 1. pyridium 100 mg tablet sig: one (1) tablet po twice a day for 3 days. disp:*6 tablet(s)* refills:*0* 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 6. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 7. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 8. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 9. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*0 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: bladder tumor discharge condition: stable discharge instructions: --weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet --the operation you have experienced is a "scraping" operation; that is to say, the bladder tumor or biopsy sample was "scraped" off the bladder wall. bleeding was controlled with electrocautery which will produce a "scab" in the inside bladder wall. about 1-2 weeks after the operation, pieces of the scab will fall off and come out with the urine. as this occurs, bleeding may be noted which is normal. you should not worry about this. simply lie down and increase your fluid intake for a few hours. in most cases, the urine will clear. because of this tendency for bleeding, aspirin (or advil) must be avoided for 2 weeks following your operation (tylenol is okay). if bleeding occurs or persists for more than 12 hours or if clots appear impairing your stream, call your urologist. if you develop a fever over 101??????, or have chills, call your urologist. although not common, this may indicate infection that has developed beyond the control of the antibiotics that you have taken. it will take 6 weeks from the date of surgery to fully recover from your operation. this can be divided into two parts -- the first 2 weeks and the last 4 weeks. during the first 2 weeks from the date of your surgery, it is important to be "a person of leisure". you should avoid lifting and straining, which also means that you should avoid constipation. this can be done by any of 3 ways: 1) modify your diet, 2) use stool softeners which have been prescribed for you, and 3) use gentle laxatives such as milk of magnesia which can be purchased at your local drug store. it is important for you to avoid prolonged sitting. you should avoid sexual activity during this time. also, avoid driving. the danger is not so much the driving, but it may delay you from urinating if you have the urge; and, "holding" urine may cause bleeding. if you return to work before 2 weeks, you may feel fatigued and require a decreased work load. during the second 4 week period of your recovery, you may begin regular activity, but only on a graduated basis. for example, you may feel well enough to return to work, but you may find it easier to begin on a half-day basis. it is common to become quite tired in the afternoon, and if such occurs, it is best to take a nap! also, you may begin to drive as well as lift objects such as a briefcase, etc. if you are a golfer, you may begin to swing a golf club at this time. sexual activity may be resumed during this time, but only on a limited basis. in general, your overall activity may be escalated to normal as you progress through this second time period, such that by 6-8 weeks following the date of surgery, you should be back to normal activity. if you take aspirin as a regular medication, it may be resumed at this time. finally, call your urologist in one week after your surgery for the results of your biopsy and your next appointment followup instructions: please call dr. for a f/u appointment. call sleep medicine for work-up of sleep apnea, dr. . procedure: other transurethral excision or destruction of lesion or tissue of bladder diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation peripheral vascular disease, unspecified chronic kidney disease, unspecified old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants abdominal aneurysm without mention of rupture malignant neoplasm of lateral wall of urinary bladder 

Answer: The patient is high likely exposed to