Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'2"
(187 cm) |
Weight:
190 lb
(86 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
O-
|
Ethnic Background:
Polish/Croatian-English-Scottish
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Education:
MD/Medicine
|
Occupation:
Physician
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Interests:
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Architecture, Arts, Cooking, Exercise, Photography
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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: | 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 | 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 | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 71 | |
| Health Problem | Congestive heart failure, treated with medication | 67 |
| Atrial fibrillation, treated with medication | 67 | |
| Chronic Obstructive Pulmonary Disease, treats with medication | 67 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 30 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 23 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Parkinson's disease, no treatment | 67 |
| Cause of death: Parkinson's disease | 73 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Osteoarthritis, no treatment | 80 |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Lung cancer, palliative care only | 65 |
| Cause of death: Lung cancer | 65 | |
| Living / Dead | Dead |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Obesity, treated successfully with gastric bypass surgery | 35 |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Heart attack, fatal, no treatment | 72 |
| Cause of death: Heart attack | 72 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 70 | |
| Health Problem | Pneumonia, palliative care only | 70 |
| Cause of death: Pneumonia | 70 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 68 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Throat cancer, treated with chemotherapy | 42 |
| Cause of death: Throat cancer | 45 | |
| Living / Dead | Dead |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: June 2016, September 2018, November 2019, June 2021. |
| Updates - Medical | No change to donor Medical Profile: June 2016, September 2018, November 2019, June 2021. |
| Updates - Family Medical History | Update received June 2016: Maternal uncle #3 suffered a stroke in his 60s, treated with secondary prevention. Update received September 2018: Father was diagnosed with emphysema in his early 70s; Father suffered a stroke in his early 70s. No change to donor Family Medical History: November 2019. Update received June 2021: Donor's Mother was diagnosed with heart disease at age 64, treated with Atrial Fibrillation; Maternal Grandmother has died at age 95 from a stroke. |