Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
6'2"
(187 cm) |
Weight:
219 lb
(99 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
French-Irish/Danish-German
|
||||
|
Education:
BS/Business Administration
|
Occupation:
Business Owner
|
||||
|
Interests:
|
Entrepreneur, Music, Sports
|
||||
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 |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
| CMV IgG Antibody | Positive |
| 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 | 57 | |
| Health Problem | Psoriasis, successfully treated with medication | 30 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, treated through diet-control | 65 |
| Diseased heart valve, treated with a heart valve replacement and blood thinners | 66 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 39 | |
| Health Problem | Healthy (half-brother) | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 38 | |
| Health Problem | Healthy (half-brother) | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 26 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Cause of death: Heart attack | 85 |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Stroke, treated with medication | 83 |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Mild scoliosis, no medication or treatment (surgery) required | 16 |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Schizophrenia, controlled with medication | 16 |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 42 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Cause of death: Heart attack | 75 |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 97 | |
| Health Problem | Cause of death: Heart failure | 97 |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Presbyterian |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2012, January 2013, September 2014, July 2015, June 2016, September 2018. Update received May 2019: Donor's occupation has changed from Sales Manager to Business Owner. No change to profile: February 2020. Update received February 2021: Donor reported that he is no longer married. No change to donor Personal Profile: January 2022. |
| Updates - Medical | No change to donor Medical Profile: February 2012, January 2013, September 2014, July 2015, June 2016, September 2018, May 2019, February 2020, February 2021, January 2022. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2012, January 2013, September 2014, July 2015, June 2016. Update received September 2018: Donor reports that his father suffered a heart attack at age 46; Donor reports the birth of a healthy daughter. No change to donor Family Medical History: May 2019. Update received February 2020: Donor's father has been diagnosed with Non-Hodgkins Lymphoma. No change to donor Family Medical Profile: February 2021. Update received January 2022: Donor's father underwent bypass surgery at age 79. |