Physical
Height:
180 cm
(5'11") |
Weight:
78 kg
(173 lb) |
Eye Color:
Brown
|
Hair:
Brown/
Curly |
Skin Tone:
Medium Light
|
Ancestry:
Multi
|
Blood Type:
A+
|
Ethnic Background:
Mexican-Spanish/German-Nat. American-Scottish
|
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Education:
BS/Biology
|
Occupation:
Lab Technician
|
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Interests:
|
Football, Playing and composing music, Video games
|
Medical
Question | Response |
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | Yes - Paternal grandfather, alcohol abuse in his 40s |
Any dietary restrictions? If yes, explain: | No |
Do you wear glasses or contact lenses? Are you near or far-sighted? | No - (Near-sighted before laser surgery) |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Mild allergy to sulfa drugs (unknown reaction) |
CMV IgG Antibody | Negative |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 45 | |
Health Problem | Inappropriate sinus tachycardia due to pregnancy, treated with medication, has since resolved | 22 |
High blood pressure due to pregnancy, treated with medication, has since resolved | 22 | |
Eczema, minor, about once a year, treats with cream | 38 | |
Gallstones, treated with surgery to remove gallbladder | 44 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 45 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 23 | |
Health Problem | Asthma, since childhood, mild, exercise-induced, treated with inhaler | |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 9 | Maternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 37 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 31 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 47 | |
Health Problem | Pre-diabetic, controlled with lifestyle changes | 46 |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 38 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 36 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 71 | |
Health Problem | Cirrhosis of liver, due to alcohol abuse in his 40s, no treatment | 60 |
Diabetes not requiring insulin therapy, treated with medication | 60 | |
Cause of death: Complications of cirrhosis of liver and diabetes | 71 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |