Doador 7255 - 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 - 2oz./week, whisky/gin
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:	Ankle; Wrist; Wisdom teeth extraction of bottom two only - Age 13 for broken ankle; Age 19 for broken hand; Age 18 for routine procedure
Hospitalization other than surgery: Age & type of illness:	Dehydration - Age 7
Have you ever had any broken bones? If yes, please give age and description:	Yes - Ages 11 and 13, Both ankles playing basketball; Ages 12 and 19, Both hands, one from a fight, one from a fall
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, protein powder, vitamins, THC drinks - Rarely, everyday, everyday, once a month maybe; Once per day if I have a headache, everyday for a year, everyday for a year, one drink a few times over the last few months; Headache, supplement exercise, overall health, relaxation
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:	Ibuprofen, protein powder, vitamins, THC drinks - Rarely, everyday, everyday, once a month maybe; Once per day if I have a headache, everyday for a year, everyday for a year, one drink a few times over the last few months; Headache, supplement exercise, overall health, relaxation
Do you wear glasses or contact lenses? Are you near or far-sighted?	No
Birth weight lbs	8
Birth weight ozs	0
Recent weight loss or gain? # of lbs and reason:	No
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Penicillin and oxycodone both cause hives
How many sexual partners do you currently have?	1
Have you ever had a tattoo?	Yes - 2021 Right front thigh
Have you ever had your ear(s) or body pierced?	Yes - 2005 Left ear, no longer have/use it

Family Medical History
Ver lista de perguntas. here

Mother's Father Ethnic Origins	German
Mother's Mother Ethnic Origins	German
Father's Father Ethnic Origins	Polish
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	51
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	53
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	32
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	30
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Brother 3

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 Brother 4

Question	Response
Current age or age at death	28
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Brother 5

Question	Response
Current age or age at death	25
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Brother 6

Question	Response
Current age or age at death	23
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Asthma

Inhaler as needed

Sisters

Your Sister 1

Question	Response
Current age or age at death	31
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Mother's Father

Question	Response
Current age or age at death	75
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Lung cancer

None currently, still figuring out treatment plan

Other disease of the kidney, urinary tract, urethra, bladder, ureter

Bladder cancer, no treatment currently, still figuring out treatment plan

Your Mother's Mother

Question	Response
Current age or age at death	73
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Disease

Age Diagnosed

Treatment For Condition

Breast cancer

Mastectomy, no chemotherapy or radiation

Your Mother's Brothers 1

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 Mother's Brothers 2

Question	Response
Current age or age at death	39
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	78
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Your Father's Mother

Question	Response
Current age or age at death	76
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	51
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Problemas de Saúde

Saudável

Número do Doador: 7255

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