Physical
Height:
180 cm
(5'11") |
Weight:
77 kg
(170 lb) |
Eye Color:
Green
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
German-Italian/German
|
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Education:
MSE/Environmental Engineering
|
Occupation:
Engineer
|
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Interests:
|
Fishing, Hiking, Woodworking
|
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: | 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 | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 25 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 78 | |
Health Problem | Lymphoma, treated with chemotherapy | 75 |
Cause of death: Lymphoma | 78 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 76 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 76 | |
Health Problem | Heart attack, treated with hospitalization | 70 |
Ruptured colon, no treatment | 76 | |
Cause of death: Ruptured colon | 76 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
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 |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 42 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Other |
Denomination | Agnostic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: October 2014, August 2015, May 2016, August 2016, September 2018, May 2020. |
Updates - Medical | No change to donor Medical Profile: October 2014, August 2015, May 2016, August 2016, September 2018, May 2020. |
Updates - Family Medical History | No change to donor Family Medical History: October 2014, August 2015, May 2016, August 2016, September 2018, May 2020. Update received June 2021: A recipient reports a child with high functioning autism. |