Physical
Height:
175 cm
(5'9") |
Weight:
85 kg
(188 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
German-Native American/English
|
||||
Education:
BBA/Supply Chain Management
|
Occupation:
Oil and Gas Buyer
|
||||
Interests:
|
Concerts, Plays, Rec leagues, Running, Sailing, Symphony, Tough muddies
|
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 - Far-sighted (single glasses used for computer use, only at work) |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Bactrim (as a child): Caused a rash |
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 | 55 | |
Health Problem | Endometriosis, treated with hysterectomy | 32 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 37 | Paternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Lung cancer/ Mesothelioma (smoker), treatment unknown | 69 |
Cause of death: Lung cancer | 70 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 86 | |
Health Problem | Dementia, no treatment | 84 |
Broken rib from CPR (thought to have had a heart attack), led to an infection | 86 | |
Cause of death: Infection | 86 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | Maternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | Maternal half sister |
Health Problem | High blood pressure, in her 50s (stress, poor diet), no treatment | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 69 | |
Health Problem | Heart attack (smoker), fatal, no treatment | 69 |
Cause of death: Heart attack | 69 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 81 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | Maternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 33 | |
Health Problem | Healthy | |
Trauma due to automobile accident | 33 | |
Cause of death: Trauma | 33 | |
Living / Dead | Dead |
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: September 2018. |
Updates - Medical | No change to donor Medical Profile: September 2018. |
Updates - Family Medical History | No change to donor Family Medical History: September 2018. |