Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'0"
(182 cm) |
Weight:
175 lb
(79 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
English-Irish/Swedish-Ukrainian
|
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|
Education:
PhD/Chemistry
|
Occupation:
Business Owner, Scientist
|
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|
Interests:
|
Camping, Gardening, Hiking, Swimming, Writing
|
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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 | 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 | 72 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Hypothyroidism
44
Medication
Your Father
| 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
Prostate hyperplasia (benign)
70
Medication
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 34 |
| 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 | 97 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart disease |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart disease
94
None
Your Mother's Mother
| Question | Response |
| Current age or age at death | 97 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Macular degeneration
85
None
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 64 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Seasonal allergies
16
Medication as needed
High cholesterol
52
Diet
Your Father's Father
| Question | Response |
| Current age or age at death | 92 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
92
None
Your Father's Mother
| Question | Response |
| Current age or age at death | 96 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Macular degeneration
78
None
Some hearing loss
85
Hearing aid
Religion:
| Faith | None |
| Denomination | N/A |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update to profile: August 2020. Fairfax Cryobank donor 5937 is now reported to have donated at The Sperm Bank of California as Donor 5395. At the current time 3 families are reported. We will monitor family units together with TSBC. |
| Updates - Medical | N/A |
| Updates - Family Medical History | N/A |