Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
6'3"
(190 cm) |
Weight:
200 lb
(90 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Curly |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
English/English-German
|
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|
Education:
BFA/Film and Television
|
Occupation:
Film Crew
|
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|
Interests:
|
Rollerblading
|
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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: | Yes - Pollens and Cats: runny nose, sneezing, itchy eyes. |
| 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 | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 20 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 14 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Lung cancer (treated with chemo/radiation) | 58 |
| Gout (no treatment received) | 58 | |
| Cause of death: Lung cancer | 61 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Multiple heart attacks, treated with a pacemaker | 68 |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 42 | |
| Health Problem | Celiac disease (food allergy to wheat and dairy), treated by controlling diet | 41 |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 48 | |
| Health Problem | Heart disease due to smoking and being overweight, treated with medication | 46 |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, treated with medication | 80 |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Diabetes mellitus requiring insulin therapy | 55 |
| Living / Dead | Living |
Your Father's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 53 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Lutheran |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2012, January 2013. Update received September 2014: Occupation has changed from Artist/Teacher to Freelance Film/Video/Photo. Update received July 2015: Occupation has changed to Film Crew. No change to donor Personal Profile: June 2016, October 2018, June 2019, April 2020, April 2021, March 2022, March 2023. |
| Updates - Medical | No change to donor Medical Profile: February 2012, January 2013, September 2014, July 2015, June 2016, October 2018, June 2019, April 2020, April 2021, March 2022, March 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2012. Update received January 2013: Maternal uncle #1 has suffered two heart attacks. Update received September 2014: Paternal grandmother has died of natural causes at age 93; Paternal grandfather has died of natural causes at age 95. No change to donor Family Medical History: July 2015, June 2016, October 2018, June 2019, April 2020. Update received April 2021: Donor reports birth of healthy daughter. No change to donor Family Medical History: March 2022. Update received March 2023: Donor reports the birth of a healthy son. |