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: gastroesophageal reflux disease major surgical or invasive procedure: laparoscopic nissen fundoplication history of present illness: mr. is a 60-year-old man who has had a long history of gastroesophageal reflux symptoms with heartburn and regurgitation. he has also had some episodes of nocturnal coughing and pneumonia. he is admitted this hospitilization for management after laparoscopic nissen fundoplication. past medical history: - colon polyps. adenoma. colon adenomas, diverticulosis. -extensive diverticulosis - h/o diarrheal illness: c. diff, stain negative. small bowel x-ray negative. no evidence for microscopic colitis, ti normal . - gerd-diagnosed in . - barrets - duodenal ulcer remote - hp treatment - pancreatic cysts-pancreatic tail lesion on on cat scan. mrcp-1 cm dense cyst with a dense wall - eus. - tear - cva in - mitral valve fibroelastoma - htn - hl - lumbar radiculopathy - migraines - allergies - left inguinal hernia - hepatitis a social history: smoking/tobacco: currently 1ppd, 40 pack-year smoking history etoh: occasional illicits: none lives with wife & son family history: father - died of colon cancer, no other gi cancers in the family or any chronic intestinal diseases physical exam: vitals:temp 98.2, hr 64, bp 144/76, rr 18, 95% room air cv:rrr resp: ctab abd: soft, mod distended, incisions c/d/i, steristrips in place ext: no le edema pertinent results: 06:45am blood wbc-7.1 rbc-5.08 hgb-13.7* hct-42.5 mcv-84 mch-27.0 mchc-32.3 rdw-15.2 plt ct-387 06:45am blood glucose-96 urean-21* creat-0.9 na-140 k-4.9 cl-103 hco3-24 angap-18 06:25am blood glucose-98 urean-23* creat-1.1 na-138 k-4.7 cl-102 hco3-26 angap-15 01:07am blood glucose-115* urean-18 creat-1.6* na-138 k-4.6 cl-101 hco3-28 angap-14 brief hospital course: mr. was admitted on for laparoscopic nissen fundoplication. he tolerated this procedure well and had an uneventful stay in the pacu. he was moved to the floor later that evening by systems his hospital course was such: neuro: initially his pain was controlled with a morphine pca and toradol. he was transitioned to po medication and toradol on pod1. his dilaudid pca was discontinued. due to an elevation in creatinine, his toradol was discontinued on pod4. cardiovascular: his rhythm was occasionally sinus bradycardia following his procedure. his blood pressure medications were held for low hr and low-normal bp on pod1 and pod2. on pod3 he had an episode of atrial fibrillation with rapid ventricular response responsive to 5 mg iv lopressor one time. this was accompanied with worsening shortness of breath. an ekg was performed which did not show any signs of ischemia or cardiac process. chest xray showed worsening interstitial edema. he was transferred to the icu. cardiac enzymes were cycled and negative x3. he had no recurrence of atrial fibrillation but continued to have sinus bradycardia occasionally, which is his baseline preoperatively. respiratory: in the postoperative period, mr. had persistent oxygen requirement and sob. on pod1 he had persistent desaturations during ambulation. this resolved initially with nebulizer treatments. on pod1 however, he had continued desaturations with ambulation. he received lasix one time for what was suspected to be postoperative effusions. on pod3 he had coinciding atrial fibrillation with rapid ventricular response. he was transferred to the icu where he received nebulizers and lasix for diuresis. after a 24 hours stay in the icu, he was weaned off oxygen to room air and transferred to the floor. there, he still had shortness of breath, but it was significantly. he was able to ambulate without o2 requirement and do stairs with physical therapy. gastrointestinal: postoperatively, he was npo the night after his nissen fundoplication. on pod1 he was advanced to sips and then clears, which he tolerated well. on pod2 he was advanced to regular diet with nissen precautions which he tolerated well. genitourinary. mr. had a foley catheter in the postoperative period. it was discontinued on pod1. he voided appropriately thereafter. on pod4, he had an elevation in his creatinine suspected to be secondary to lasix. his nephrotoxic medications were discontinued. his creatinine improved the following day (from 1.6 to 1.1). consults: mr. was seen by physical therapy on . they ambulated with him and had him do stair work. he had no desaturations and was able to move comfortably. he was recommended to home without services. he was discharged to home on . medications on admission: atorvastatin 20', baclofen 10''', dexlansoprazole 60'', dicyclomine 10'', folic acid 1', lisinopril 10', metoclopramide 5 before lunch and hs, mirtazapine 7.5 qhs, ranitidine 150'', sertraline 100', verapamil 120', asa 325', loperimide prn discharge medications: 1. acetaminophen 650 mg po q6h pain rx *acetaminophen 650 mg q 6 hours disp #*40 tablet refills:*0 2. atorvastatin 20 mg po daily 3. baclofen 10 mg po tid 4. dicyclomine 10 mg po bid 5. docusate sodium 100 mg po bid rx *colace 100 mg twice a day disp #*60 tablet refills:*0 6. folic acid 1 mg po daily 7. lisinopril 10 mg po daily 8. metoclopramide 5 mg po bid give 1 before lunch, 1 before bedtime 9. mirtazapine 7.5 mg po hs 10. nicotine patch 14 mg td daily 11. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg q 4 hours disp #*40 tablet refills:*0 12. ranitidine 150 mg po bid 13. sertraline 100 mg po daily 14. verapamil 120 mg po daily 15. dexlansoprazole *nf* 60 mg oral 16. aspirin 325 mg po daily discharge disposition: home with service facility: discharge diagnosis: gastroesophageal reflux postoperative hypoxemia, responding to diuretics atrial fibrillation with rapid ventricular response discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , you were admitted to the west 3 surgery service for laparoscopic nissen fundoplication for your reflux. this means that your stomach is wrapped around its upper edge to prevent reflux. general discharge instructions: please resume all regular home medications, unless specifically advised not to take a particular medication. please take any new medications as prescribed. please take the prescribed analgesic medications as needed. you may not drive or operate heavy machinery while taking narcotic analgesic medications. you may also take acetaminophen (tylenol) as directed, but do not exceed 4000 mg in one day. please get plenty of rest, continue to walk several times per day, and drink adequate amounts of fluids. avoid strenuous physical activity and refrain from heavy lifting greater than 10 lbs., until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. please also follow-up with your primary care physician. incision care: *please call your surgeon or go to the emergency department if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until cleared by your surgeon. *you may shower and wash incisions with a mild soap and warm water. gently pat the area dry. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. *you are regular diet but continue to eat non-sharp food. no bread please. followup instructions: please call dr. office to schedule an appointment in weeks. office number is . procedure: laparoscopic procedures for creation of esophagogastric sphincteric competence laparoscopic repair of diaphragmatic hernia, abdominal approach diagnoses: tobacco use disorder unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia other specified cardiac dysrhythmias alkalosis other respiratory complications personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hypoxemia migraine, unspecified, without mention of intractable migraine without mention of status migrainosus barrett's esophagus diverticulosis of colon (without mention of hemorrhage) irritable bowel syndrome acute edema of lung, unspecified personal history of colonic polyps personal history of peptic ulcer disease other diuretics causing adverse effects in therapeutic use other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation coronary vasodilators causing adverse effects in therapeutic use thoracic or lumbosacral neuritis or radiculitis, unspecified reflux esophagitis personal history of malignant neuroendocrine tumor personal history of pneumonia (recurrent) 

Answer: The patient is high likely exposed to