Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'9"
(175 cm) |
Weight:
185 lb
(83 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Multi
|
|
Blood Type:
A+
|
Ethnic Background:
Palestinian-Panamanian/German
|
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|
Education:
AAS/Nursing
|
Occupation:
Cardiac Monitor Technician
|
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|
Interests:
|
Beaches, Books, Concerts, Driving, Traveling
|
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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 | 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 | 46 | |
| Health Problem | Hyperactive thyroid, treated with surgery | 32 |
| Dislocated disc from car accident, treated with surgery | 38 | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | High blood pressure, controlled with medication | 37 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 19 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 13 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 9 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 33 | |
| Health Problem | Gunshot wound (accidental), treated with surgery | 33 |
| Cause of death: Gunshot wound | 33 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| 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 Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 29 | |
| Health Problem | Trauma due to car accident | 29 |
| Cause of death: Trauma | 29 | |
| Living / Dead | Dead |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 38 | |
| Health Problem | Trauma due to car accident | 38 |
| Cause of death: Trauma | 38 | |
| Living / Dead | Dead |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 44 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 37 | |
| Health Problem | Heart failure, no treatment | 32 |
| Cause of death: Heart failure | 37 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Breast cancer, treated with surgery | 38 |
| Cause of death: Breast cancer | 63 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Multiple sclerosis, treated with medication | 50 |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | High blood pressure, controlled with medication | 43 |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2017. Update received August 2018: Donor's occupation has changed from Certified Nursing Assistant to Cardiac Monitor Technician. No change to donor Personal Profile: June 2019, April 2020, October 2021, December 2023. |
| Updates - Medical | No change to donor Medical Profile: February 2017, August 2018, June 2019, April 2020, October 2021, December 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2017, August 2018, June 2019, April 2020, October 2021, December 2023. |