Physical
Height:
175 cm
(5'9") |
Weight:
69 kg
(154 lb) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Dutch-Swedish/French Canadian-Swedish
|
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Education:
BA/Economics
|
Occupation:
Student
|
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Interests:
|
Billiards, Water Skiing
|
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? | No - Near-sighted (slightly, glasses not necessary) |
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 HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Miscarriage, no treatment, successful pregnancies pre- and post-miscarriage | 27 |
High blood pressure, controlled with diet management | 40 | |
High cholesterol, controlled with diet management | 40 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 26 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 24 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Esophageal cancer, treated with surgery | 40 |
High blood pressure, controlled with medication | 55 | |
High cholesterol, controlled with medication | 55 | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Breast cancer, treated with chemotherapy | 50 |
Glaucoma, controlled with medicated eye drops | 63 | |
Breast cancer, treated with mastectomy | 70 | |
Pre-cancerous skin cells, treated with surgery | 70 | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Blood clot in heart, fatal, no treatment | 70 |
Cause of death: Blood clot in heart | 70 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Shingles, no treatment | 74 |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | None |
Denomination | Atheist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: July 2015, December 2015, January 2018. |
Updates - Medical | No change to donor Medical Profile: July 2015. Update received December 2015: Donor has had surgery on his right knee to repair a torn ACL. Update received January 2018: Donor has been diagnosed with prostatitis, treated with antibiotics. |
Updates - Family Medical History | Update received July 2015: Father has been diagnosed with sleep apnea, treats with CPAP. No change to donor Family Medical History: December 2015. Update received January 2018: Mother has been diagnosed with heart failure, treated with medication. |