Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Altura:
182 cm
(6'0") |
Peso:
106 kg
(234 lb) |
Cor dos olhos:
Castanho
|
Cabelo:
Castanho/
Ondulado |
Tom de Pele:
Moreno
|
Ascendência:
Caucasiano
|
|
Tipo Sanguíneo:
O+
|
Etnia:
German/Irish-Scottish-Spanish
|
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Escolaridade:
BA/Education
|
Ocupação:
Manager
|
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Interesses:
|
Baseball, Football, Golf
|
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Medical
| Question | Response |
| Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
| Any dietary restrictions? If yes, explain: | No |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | No |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
| CMV IgG Antibody | Positive |
| CMV IgM Antibody | Negative |
| Note any comments regarding above items: | N/A |
Family Medical HistoryVer lista de perguntas. here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Back surgery due to injury | 47 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 27 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 25 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 18 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 16 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Daughters
Your Daughter 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 1.5 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Heart attack (Cause of death) | 54 |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 83 | |
| Health Problem | Heart attack | 80 |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Cancer (type unknown) | 60 |
| Living / Dead | Dead |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Medical Profile: February 2011, February 2012. Update received Juanuary 2013: Occupation has changed from Business Owner to Manager. |
| Updates - Medical | No change to donor Medical Profile: February 2011. Update received February 2012: Donor reports taking Lexapro, but has not been diagnosed with any medical condition. Update received January 2013: Donor reports taking Lexapro and Adderall, but has not been diagnosed with any medical condition. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2011, February 2012, January 2013. |