Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'1"
(185 cm) |
Weight:
225 lb
(102 kg) |
Eye Color:
Blue
|
Hair:
Blond/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Dutch-English/English-German
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Education:
BS/Hospitality Management
|
Occupation:
Kitchen Manager
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Interests:
|
Cooking, Sports, Video games
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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: | Yes - Seasonal: Causes sneezing, itchy eyes |
| 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 |
| Current age or age at death | 55 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father
| Question | Response |
| Current age or age at death | 58 |
| 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
50
Medication
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 24 |
| 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 | 19 |
| 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 | 76 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Stroke |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Coronary artery disease
71
Bypass surgery
Stroke
76
None
Your Mother's Mother
| Question | Response |
| Current age or age at death | 76 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes requiring insulin therapy
71
N/A
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 58 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 2
| Question | Response |
| Current age or age at death | 52 |
| 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 | 79 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Mother
| Question | Response |
| Current age or age at death | 70 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Complications of leukemia |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Leukemia
63
Chemotherapy
Bulimia (diagnosed during chemotherapy)
63
None
Lymph node cancer
63
Chemotherapy
Kidney failure
63
Dialysis
Religion:
| Faith | Other |
| Denomination | I grew up Christian; I remain spiritual but skeptical of religions. Never felt like I could trust someone who needs unwavering faith in his interpretation of a holy book |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | N/A |
| Updates - Medical | Donor's CMV status is updated to IgG Antibody positive in December 2018. CMV IgM Antibody remains negative. |
| Updates - Family Medical History | N/A |