Physical
|
Height:
5'6"
(167 cm) |
Weight:
162 lb
(73 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Ukrainian/French-German-Scottish
|
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|
Education:
MD, MBA
|
Occupation:
Medical Resident
|
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Interests:
|
Cooking, Golf, Hiking, Kayaking, Paintball
|
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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: | No |
| Any dietary restrictions? If yes, explain: | Yes - Dairy, causes diarrhea |
| 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 - Dairy: Diarrhea |
| 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 | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Migraines, food-triggered, treats with medication | 47 |
| Diverticulosis, treats with fiber supplements | 57 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 27 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Pancreatic cancer due to occupational radiation exposure, treated with chemotherapy | 64 |
| Cause of death: Pancreatic cancer | 65 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 87 | |
| Health Problem | Gout, treated with medication | 58 |
| Stroke, treated with medication | 84 | |
| Viral pneumonia, treated with hospitalization | 87 | |
| Cause of death: Viral pneumonia | 87 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| 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 | 86 | |
| Health Problem | High blood pressure, treated with medication | 57 |
| Coronary artery disease, treated with bypass surgery and medication | 59 | |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Healthy | |
| Boating accident | 21 | |
| Cause of death: Drowning | 21 | |
| Living / Dead | Dead |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Russian Orthodox |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: August 2013, December 2013, August 2015. Update received July 2016: Occupation has changed from Student to Medical Resident. |
| Updates - Medical | No change to donor Medical Profile: August 2013, December 2013. Update received August 2015: Donor is taking medication to treat heartburn. No change to donor Medical Profile: July 2016. |
| Updates - Family Medical History | No change to donor Family Medical History: August 2013. Update received December 2013: Paternal grandmother died from complications of valve replacement surgery. No change to donor Family Medical History: August 2015. Update received July 2016: Paternal aunt had kidney stones at age 60, no treatment was received. |

Physical
Medical
Family Medical History
Religion
Updates to Profile