Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'0"
(182 cm) |
Weight:
182 lb
(82 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Dutch-German-Jewish/English-French Canadian-Irish
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Education:
MD/Medicine
|
Occupation:
Physician
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Interests:
|
Fitness, Sports, Travel
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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 aunt #1 |
| Any dietary restrictions? If yes, explain: | No |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | No |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - May be allergic to morphine |
| 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 | 60 | |
| Health Problem | Stillborn child (she had four healthy children afterwards) | 23 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 37 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 35 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 30 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Daughters
Your Daughter 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 3 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Stroke | 72 |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Epilepsy (mild case thought to be from a difficult birth) | |
| Cause of death: Cardiac arrest | 78 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Drooping eyelid | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 29 | |
| Health Problem | Cause of death: Car accident | 29 |
| Living / Dead | Dead |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 93 | |
| Health Problem | Throat cancer (smoker) | 70 |
| Skin cancer (from prolonged sun exposure) | 80 | |
| Cataracts | 80 | |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 92 | |
| Health Problem | Emphysema (smoker) | 70 |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 69 | |
| Health Problem | Alcoholic | |
| 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 | 35 | |
| Health Problem | Cause of death: Car accident | 35 |
| 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 |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update received February 2010: Donor has completed his MD degree and his occupation has changed from Medical Student to Doctor. No change to donor Personal Profile: March 2011, May 2012, January 2013, September 2014, June 2016, February 2019. |
| Updates - Medical | No change to donor Medical Profile: February 2010, March 2011, May 2012, January 2013. Update received September 2014: Donor has allergies, treated with over-the-counter medication. No change to donor Medical Profile: June 2016, February 2019. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2010. Update received March 2011: Mother has been diagnosed with high cholesterol at age 60, treated with medication. No change to donor Family Medical History: May 2012. Update received January 2013: Paternal grandfather has died of pneumonia at age 98. Update received September 2014: Mother has been diagnosed with dementia at age 70, no treatment; Father has been diagnosed with diverticulitis at age 72, treated with medication; Paternal aunt #1 has died of unknown cause at age 70; Paternal uncle has arthritis, treated with joint replacement surgery. No change to donor Family Medical History: June 2016, February 2019. |