This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Physical
Altura:
182 cm
(6'0") |
Peso:
87 kg
(193 lb) |
Cor dos olhos:
Azul
|
Cabelo:
Castanho/
Liso |
Tom de Pele:
Claro
|
Ascendência:
Caucasiano
|
Tipo Sanguíneo:
A-
|
Etnia:
Polish/Finnish
|
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Escolaridade:
MBA
|
Ocupação:
Finance Manager
|
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Interesses:
|
Computers, Drums, Guitar, Piano, Swimming, Tennis
|
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? | Yes - Near-sighted, Left: D -5.00, BC 8.4, DIA 14.0 Right: D -5.50, BC 8.4, DIA 14.0 |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
CMV IgG Antibody | Negative |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistoryVer lista de perguntas. here
Your Mother
Question | Response |
Current age or age at death | 53 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Father
Question | Response |
Current age or age at death | 54 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 30 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Brother 2
Question | Response |
Current age or age at death | 21 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Sisters
Your Sister 1
Question | Response |
Current age or age at death | 33 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Sons
Your Son 1
Question | Response |
Current age or age at death | 5 |
Living / Dead | Living |
Problemas de Saúde
Saudável
Daughters
Your Daughter 1
Question | Response |
Current age or age at death | 2 |
Living / Dead | Living |
Problemas de Saúde
Saudável
Your Mother's Father
Question | Response |
Current age or age at death | 82 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart failure, no treatment |
Problemas de Saúde
Disease
Age Diagnosed
Treatment For Condition
Other heart disease
82
Heart failure, no treatment, passed in sleep
Your Mother's Mother
Question | Response |
Current age or age at death | 45 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Accident |
Problemas de Saúde
Disease
Age Diagnosed
Treatment For Condition
Early death (less than age 50)
45
Accidental death, no treatment
Your Mother's Sisters 1
Question | Response |
Current age or age at death | 74 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Sisters 2
Question | Response |
Current age or age at death | 68 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Sisters 3
Question | Response |
Current age or age at death | 66 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Sisters 4
Question | Response |
Current age or age at death | 52 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Brothers 1
Question | Response |
Current age or age at death | 67 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Brothers 2
Question | Response |
Current age or age at death | 64 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Mother's Brothers 3
Question | Response |
Current age or age at death | 58 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Your Father's Father
Question | Response |
Current age or age at death | 62 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack, no treatment |
Problemas de Saúde
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Father's Mother
Question | Response |
Current age or age at death | 83 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Pancreatic cancer, no treatment |
Problemas de Saúde
Disease
Age Diagnosed
Treatment For Condition
Pancreatic Cancer
82
No treatment
Your Father's Sisters 1
Question | Response |
Current age or age at death | 42 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Problemas de Saúde
Saudável
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |