Doador 6668 - Medical Profile

This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details

Personal Behavior History

Question	Response
Current alcohol use: If yes, oz./week and type of alcohol:	Rarely - 12 oz. Beer
Tobacco use: Do you smoke? If yes, #/day and for how long:	No
If you did smoke but quit, when did you last smoke?	N/A
For how many years?	N/A
Do you sleep well?	Yes
Do you exercise on regular basis?	Yes
Is your diet well balanced? If no, explain:	Yes
Are you a vegetarian?	No
Any dietary restrictions? If yes, explain:	No

Sexual History

Question	Response
A partner whose sexual background you are unsure of in the past 12 months?	No

Donor Genetic History

Question	Response
Do you have a history of a speech disorder; such as a speech impediment, stuttering, delayed speech development, etc.? If yes, explain:	No
Do you have learning differences, such as dyslexia? If yes, explain:	No
Were you or any family members born with any birth defects? If yes, explain:	No

Donor Medical History

Question	Response
List any operations: Age & reason:	Tendon repair left hand - Age 16, sports injury
Hospitalization other than surgery: Age & type of illness:	Herniated disc - Age 30, received steroid shot in back for herniated disc
Have you ever had any broken bones? If yes, please give age and description:	No
Have you ever had any serious illnesses? If yes, please give age and description:	No
Are you presently under a physician's care for any reason? If yes, please describe:	No
List all drugs you have taken in past 12 months (prescription, nonprescription, herbal, and sports supplements, and recreational). Include drug, frequency and duration taken, and reason:	Ibuprofen - As needed; As needed; Headache
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:	N/A - N/A; N/A; N/A
Do you wear glasses or contact lenses? Are you near or far-sighted?	Yes - Near-sighted, 20/50
Birth weight lbs	10
Birth weight ozs	4
Recent weight loss or gain? # of lbs and reason:	Yes - 30 lbs. lost over 6 months, change in diet and exercise habits
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Nickel, skin irritation
How many sexual partners do you currently have?	0
Have you ever had a tattoo?	Yes - 2012 Left shoulder; 2014 Back; 2016 Right shoulder; 2020 Right calf
Have you ever had your ear(s) or body pierced?	No

Family Medical History
Ver lista de perguntas. here

Mother's Father Ethnic Origins	Irish
Mother's Mother Ethnic Origins	French
Father's Father Ethnic Origins	German
Father's Mother Ethnic Origin	German
Is anyone in your family of Ashkenazai Jewish Heritage?	No
If yes, who?	N/A

Your Mother

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

Your Father

Question	Response
Current age or age at death	55
Living / Dead	Dead
Cause of death and any treatment prior to death	Stroke

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Other

No other diagnosed health problems at time of death

Sisters

Your Sister 1

Question	Response
Current age or age at death	29
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Sister 2

Question	Response
Current age or age at death	26
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Daughters

Your Daughter 1

Question	Response
Current age or age at death	7
Living / Dead	Living

Problemas de Saúde

Saudável

Your Mother's Father

Question	Response
Current age or age at death	78
Living / Dead	Dead
Cause of death and any treatment prior to death	Parkinson's Disease

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Parkinson's disease

Unknown

Your Mother's Mother

Question	Response
Current age or age at death	87
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Mother's Sisters 1

Question	Response
Current age or age at death	60
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	59
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	34
Living / Dead	Dead
Cause of death and any treatment prior to death	Lung cancer

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Lung cancer

Radiation treatment

Your Mother's Brothers 1

Question	Response
Current age or age at death	50
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	80
Living / Dead	Dead
Cause of death and any treatment prior to death	Heart attack

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Other heart disease

Had heart issues at age 68, had a stent put in

Your Father's Mother

Question	Response
Current age or age at death	79
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Father's Brothers 1

Question	Response
Current age or age at death	55
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Father's Brothers 2

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

Número do Doador: 6668

Personal Behavior History

Sexual History

Donor Genetic History

Donor Medical History

Family Medical HistoryVer lista de perguntas. here

Family Medical History
Ver lista de perguntas. here