Physical
|
Height:
6'2"
(187 cm) |
Weight:
177 lb
(80 kg) |
Eye Color:
Brown
|
Hair:
Black/
Straight |
Skin Tone:
Medium
|
Ancestry:
Asian
|
|
Blood Type:
B+
|
Ethnic Background:
Chinese/Chinese
|
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|
Education:
Pharm.D./Pharmacy
|
Occupation:
Pharmacist
|
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|
Interests:
|
Investment, Reading, Travel
|
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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? | No - (Near-sighted before laser surgery) |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No - Seasonal pollens, Cat hair: Cause itchy, watery eyes, sneezing |
| 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 | 59 | |
| Health Problem | Osteoarthritis, mild, no treatment | 50 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Healthy | |
| Seasonal allergies, treated with over-the-counter medication | 5 | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Pneumonia, treated in hospital | 88 |
| Cause of death: Complications of pneumonia | 88 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Osteoporosis, no treatment | 70 |
| Cause of death: Head trauma (she fell and hit her head) | 85 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Unknown | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Unknown | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Unknown | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Obesity, age of onset unknown, no treatment | |
| Diabetes, treated with medication | 65 | |
| High blood pressure, treated with medication | 65 | |
| Pneumonia, treated in hospital | 88 | |
| Cause of death: Pneumonia | 88 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 83 | |
| Health Problem | Cataract, treated with surgery | 60 |
| Osteoporosis, no treatment | 70 | |
| Broken hip in a fall, treated with hip replacement surgery | 73 | |
| 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 | 59 | |
| Health Problem | Healthy | |
| Cause of death: Car accident | 59 | |
| Living / Dead | Dead |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Unknown | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: August 2017. |
| Updates - Medical | No change to donor Medical Profile: August 2017. |
| Updates - Family Medical History | No change to donor Family Medical History: August 2017. |

Physical
Medical
Family Medical History
Religion
Updates to Profile