Physical
Medical
Family Medical History
Religion
Updates to ProfileThis donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Physical
|
Height:
5'11"
(180 cm) |
Weight:
195 lb
(88 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
B+
|
Ethnic Background:
Israeli (Jewish)/Irish-Italian
|
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|
Education:
JD/Law
|
Occupation:
Attorney
|
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Interests:
|
Motorcycles, Painting, Poetry, Tennis
|
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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 |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
| 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 | 54 |
| 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 | 77 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Hepatitis C (contracted during military service)
18
Liver transplant at age 65
Your Mother's Father
| Question | Response |
| Current age or age at death | 74 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Head injury |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Head injury sustained in fall
74
Hospitalized
Your Mother's Mother
| Question | Response |
| Current age or age at death | 73 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Oxygen deficiency while sleeping
70
Oxygen treatment
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 50 |
| 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 | 45 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 1
| 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 Mother's Brothers 2
| Question | Response |
| Current age or age at death | 47 |
| 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 | 85 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Urinary Tract Infection - Died in his sleep at home |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heavy smoker until death - potential COD
70
none
Your Father's Mother
| Question | Response |
| Current age or age at death | 84 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Pneumonia - Hospitalization |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Pneumonia
84
Hospitalization
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 64 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
64
unknown
Your Father's Sisters 2
| Question | Response |
| Current age or age at death | 68 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Fall resulting in coma - Hospitalization |
Health Problems
Healthy
Your Father's Sisters 3
| Question | Response |
| Current age or age at death | 77 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Sisters 4
| Question | Response |
| Current age or age at death | 75 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 1
| Question | Response |
| Current age or age at death | 24 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Motorcycle accident |
Health Problems
Healthy
Your Father's Brothers 2
| Question | Response |
| Current age or age at death | 72 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
| Faith | Jewish |
| Denomination | N/A |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | No change to donor Personal Profile: August 2021. |
| Updates - Medical | No change to donor Medical Profile: August 2021. |
| Updates - Family Medical History | No change to donor Family Medical History: August 2021. |