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:
5'10"
(177 cm) |
Weight:
180 lb
(81 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
English-German-Irish-Scottish/English-Irish-Norwegian-Scot.
|
||||
|
Education:
BS/Biological Sciences
|
Occupation:
Hospital Clinical Technician
|
||||
|
Interests:
|
Cooking, Drawing, Lacrosse, Music, Painting, Refurbishing Furniture
|
||||
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: | Yes - Poison ivy, rash/boils |
| 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 | 59 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Osteoarthritis
50
Supplements
Other
Age 9-10 diagnosed with Factor V Leiden, no medication
Your Father
| 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
Disease
Age Diagnosed
Treatment For Condition
Other heart disease
54
Aortic valve stenosis, treated with transcatheter aortic valve replacement
High blood pressure
50
Medication
High cholesterol
50
Medication
Diabetes mellitus requiring insulin therapy
38
Insulin
Other disease of the kidney, urinary tract, urethra, bladder, ureter
51
Kidney failure related to diabetes, takes medication
Any other sight/sound/smell disorder
52
Diabetes-related vision problems, takes medication
Other
Diagnosed at age 42 with peripheral neuropathy, takes medication
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 18 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Car Accident, no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Eczema
16
Occasionally used steroids
Early death (less than age 50)
18
Accidental death (car accident)
Your Mother's Father
| Question | Response |
| Current age or age at death | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung cancer (smoker), no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer
68
No treatment
Your Mother's Mother
| Question | Response |
| Current age or age at death | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung failure (smoker), no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 70 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Ovarian cancer, chemotherapy |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Cancer of cervix, ovaries, or uterus
65
Ovarian cancer treated with chemotherapy
Your Mother's Brothers 1
| Question | Response |
| Current age or age at death | 70 |
| 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 | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Alzheimer's, Medication |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
60
Medication
Your Father's Mother
| Question | Response |
| Current age or age at death | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Endocarditis, medication |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other heart disease
78
Heart failure, treated with surgery
Drug abuse, misuse, or addiction
50
Alcoholism, no treatment
Your Father'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
Diabetes mellitus not requiring insulin therapy
30
No treatment
Your Father's Brothers 1
| Question | Response |
| Current age or age at death | 63 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart Valve Failure |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other heart disease
55
Heart valve replacement
Religion:
| Faith | None |
| Denomination | N/A |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | N/A |
| Updates - Medical | N/A |
| Updates - Family Medical History | N/A |