Physical
Height:
180 cm
(5'11") |
Weight:
102 kg
(225 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
Norwegian/German-Irish
|
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Education:
BA/History
|
Occupation:
Restaurant Manager/Owner
|
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Interests:
|
Chess, Cooking, Film, Public Radio, Reading
|
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 - Near-sighted |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Erythromycin: Hives, diarrhea; Cats: Itchy eyes; Caterpillars: Throat swelling |
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 | 58 | |
Health Problem | Miscarriage, no treatment | 33 |
Miscarriage, no treatment | 35 | |
Ovarian cysts, treated with hysterectomy | 44 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 36 | |
Health Problem | Asthma, controlled with an inhaler | 4 |
Hay fever, treated with over-the-counter medication | 4 | |
Living / Dead | Living |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | N/A | |
Health Problem | N/A | |
Living / Dead | N/A |
Daughters
Your Daughter 1
Question | Response | Comment/Age Affected |
Current age or age at death | 1 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Emphysema, due to smoking, treated with oxygen therapy | 64 |
Lung cancer, attempted treatment with chemotherapy and radiation | 64 | |
Cause of death: Lung cancer | 68 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 82 | |
Health Problem | Rheumatoid arthritis, treated with over-the-counter medication | 35 |
High blood pressure, controlled with medication | 50 | |
Congestive heart failure, no treatment | 64 | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 82 | |
Health Problem | Alzheimer's, managed with medication and full-time care | 79 |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Pancreatic cancer, attempted treatment with chemotherapy | 66 |
Cause of death: Pancreatic cancer | 66 | |
Living / Dead | Dead |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | High cholesterol, controlled with medication | 45 |
High blood pressure, controlled with medication | 45 | |
Heart attack, treated with surgery | 47 | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Lutheran |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: September 2018, July 2020. |
Updates - Medical | No change to donor Medical Profile: September 2018, July 2020. |
Updates - Family Medical History | No change to donor Family Medical History: September 2018. Update received July 2020: Donor's Maternal grandmother has passed away at age 85. No cause of death was reported. |