Donor 7305 - Medical Profile

This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details

Personal Behavior History

Question	Response
Current alcohol use: If yes, oz./week and type of alcohol:	Never
Tobacco use: Do you smoke? If yes, #/day and for how long:	No
If you did smoke but quit, when did you last smoke?	N/A
For how many years?	N/A
Do you sleep well?	Yes
Do you exercise on regular basis?	Yes
Is your diet well balanced? If no, explain:	Yes
Are you a vegetarian?	No
Any dietary restrictions? If yes, explain:	No

Sexual History

Question	Response
A partner whose sexual background you are unsure of in the past 12 months?	No

Donor Genetic History

Question	Response
Do you have a history of a speech disorder; such as a speech impediment, stuttering, delayed speech development, etc.? If yes, explain:	No
Do you have learning differences, such as dyslexia? If yes, explain:	No
Were you or any family members born with any birth defects? If yes, explain:	No

Donor Medical History

Question	Response
List any operations: Age & reason:	Wisdom teeth removed - Age 19
Hospitalization other than surgery: Age & type of illness:	N/A - N/A
Have you ever had any broken bones? If yes, please give age and description:	No
Have you ever had any serious illnesses? If yes, please give age and description:	No
Are you presently under a physician's care for any reason? If yes, please describe:	No
List all drugs you have taken in past 12 months (prescription, nonprescription, herbal, and sports supplements, and recreational). Include drug, frequency and duration taken, and reason:	Multivitamin - Daily; Ongoing; General Health
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:	Multivitamin - Daily; Ongoing; General Health
Do you wear glasses or contact lenses? Are you near or far-sighted?	No
Birth weight lbs	8
Birth weight ozs	N/A
Recent weight loss or gain? # of lbs and reason:	No
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	No
How many sexual partners do you currently have?	0
Have you ever had a tattoo?	No
Have you ever had your ear(s) or body pierced?	No

Family Medical History
See list of questions asked here

Mother's Father Ethnic Origins	German-Irish-Scottish
Mother's Mother Ethnic Origins	German-Irish-Scottish
Father's Father Ethnic Origins	Italian
Father's Mother Ethnic Origin	Italian
Is anyone in your family of Ashkenazai Jewish Heritage?	No
If yes, who?	N/A

Your Mother

Question	Response
Current age or age at death	57
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	60
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Brothers

Your Brother 1

Question	Response
Current age or age at death	40
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Brother 2

Question	Response
Current age or age at death	38
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Brother 3

Question	Response
Current age or age at death	30
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	35
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	85
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Mother's Mother

Question	Response
Current age or age at death	83
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Mother's Sisters 1

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 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 Mother's Brothers 1

Question	Response
Current age or age at death	48
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	90
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	88
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father'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 Sisters 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 Brothers 1

Question	Response
Current age or age at death	66
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Brothers 2

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

Healthy

Donor Number: 7305

Personal Behavior History

Sexual History

Donor Genetic History

Donor Medical History

Family Medical HistorySee list of questions asked here

Family Medical History
See list of questions asked here