Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'8"
(172 cm) |
Weight:
138 lb
(62 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Multi
|
|
Blood Type:
AB+
|
Ethnic Background:
Indonesian-Japanese/English-German-Rus (Jewish)-Welsh
|
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|
Education:
AA/Liberal Studies
|
Occupation:
Agricultural Technician
|
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|
Interests:
|
Guitar, Piano, Running, Skateboarding, Swimming
|
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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 |
| 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 |
| Current age or age at death | 54 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
51
Medication
Heart arrhythmia
52
Defibrillator implant
Breast cancer
52
Surgery, chemotherapy
Your Father
| Question | Response |
| Current age or age at death | 54 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Sisters
Your Sister 1
| Question | Response |
| Current age or age at death | 22 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Father
| Question | Response |
| Current age or age at death | 59 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Status asthmaticus |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
50
Medication
Status asthmaticus
59
Unknown
Your Mother's Mother
| Question | Response |
| Current age or age at death | 71 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Rheumatoid arthritis
56
Medication
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 46 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Father
| Question | Response |
| Current age or age at death | 75 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Pancreatic cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Prostate cancer
65
Unknown
Pancreatic cancer
75
Radiation and chemotherapy
Your Father's Mother
| Question | Response |
| Current age or age at death | 81 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Tourette syndrome
17
Unknown
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 55 - Paternal half sister |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Sisters 2
| Question | Response |
| Current age or age at death | 51 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Endometriosis
18
Unknown
Religion:
| Faith | Jewish |
| Denomination | N/A |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: May 2018. Update received August 2018: Donor's occupation has changed from Artist, Retail sales, Waiter to Agricultural Technician. |
| Updates - Medical | No change to donor Medical Profile: May 2018, August 2018. |
| Updates - Family Medical History | No change to donor Family Medical History: May 2018, August 2018. |