Physical
Height:
6'3"
(190 cm) |
Weight:
185 lb
(83 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Curly |
Skin Tone:
Medium Dark
|
Ancestry:
Caucasian
|
Blood Type:
A-
|
Ethnic Background:
Lithuanian (Jewish)/English-Irish
|
||||
Education:
PhD/City & Regional Planning
|
Occupation:
Doctoral Student
|
||||
Interests:
|
Fishing, Hiking, Kayaking, Swimming
|
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: | Yes - Pollens and some pet dander: Cause congestion, itchy eyes, drowsiness |
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 | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Cataracts, in his late 50s, treated with surgery | 55 |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 28 | |
Health Problem | Sports hernia, treated with physical therapy | 15 |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 32 | |
Health Problem | Anorexia, treated in hospital, no problems any longer | 13 |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | High blood pressure, treatment (if any) unknown | 55 |
High cholesterol, treatment (if any) unknown | 55 | |
Cause of death: Car accident | 65 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | High blood pressure, treatment (if any) unknown | 55 |
High cholesterol, treatment (if any) unknown | 55 | |
Cause of death: Car accident | 61 | |
Living / Dead | Dead |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 16 | |
Health Problem | Healthy | |
Cause of death: Car accident | 16 | |
Living / Dead | Dead |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Lung cancer (smoker), treated with radiation | 52 |
Cause of death: Lung cancer | 56 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | Kidney failure, treatment (if any) unknown | 80 |
Cause of death: Kidney failure | 80 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Gout, treatment (if any) unknown, no longer suffers any effects from it | 53 |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: May 2017, November 2017. |
Updates - Medical | Donor's CMV status is updated to IgG Antibody positive in March 2017. CMV IgM Antibody remains negative. No change to donor Medical Profile: May 2017, November 2017. |
Updates - Family Medical History | No change to donor Family Medical History: May 2017, November 2017. Update November 2024: A recipient reported her son, at age 2 1/2 years, is diagnosed with autism spectrum disorder. |