Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'2"
(187 cm) |
Weight:
200 lb
(90 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
English-French-Irish/Scottish
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Education:
Pursuing BBA/Management
|
Occupation:
Emergency Veterinary Tech
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Interests:
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Billiards, Bowling, Golf, Paintball, Theatre, Veterinary Medicine
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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? | Yes - -4.75/-4.75 |
| 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 | 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
40
metoprolol, losartan
Diabetes mellitus not requiring insulin therapy
45
metformin, glipizide and diet change
Thyroid disease
50
hypothyroidism medicated with levothyroxine
Your Father
| Question | Response |
| Current age or age at death | 62 |
| 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 | 77 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
74 left leg amputation, 77 right leg amputation. Poor circulation secondary to heavy smoking. Wounds on feet became necrotic leading to both amputations.
Your Mother's Mother
| Question | Response |
| Current age or age at death | 66 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Pulmonary Embolism, no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Any other cancer/problem of digestive system
45
Decreased gastric motility, treated with metoclopramide
Other mental health disorders
60
Psychosis, treated with medication
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 62 |
| 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 | 45 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer
40
Cancer was too advanced and aggressive, no treatment
Your Father's Mother
| Question | Response |
| Current age or age at death | 61 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Stomach cancer, no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stomach Cancer
60
no treatment
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | N/A |
| Updates - Medical | N/A |
| Updates - Family Medical History | N/A |