Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'0"
(182 cm) |
Weight:
177 lb
(80 kg) |
Eye Color:
Hazel
|
Hair:
Blond/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
B+
|
Ethnic Background:
Norwegian-Swedish/English-German
|
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Education:
JD/Law
|
Occupation:
Health Care
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Interests:
|
Philanthropy Chair for fraternity
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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: | Yes - Paternal grandmother, age 60 (treated with AA meetings, sober for 10 years) |
| 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 - Seasonal (ragweed): Itchy, watery eyes; Cats: Itchy, watery 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 | 53 | |
| Health Problem | Migraines, treated with over-the-counter medication | 30 |
| Hypothyroidism, treated with medication | 50 | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | High blood pressure, treated with medication | 55 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 26 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 20 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 79 | |
| Health Problem | Glaucoma, treated with medicated eye drops | 60 |
| High blood pressure, treated with medication | 70 | |
| Prostate cancer, treated with radiation | 75 | |
| Living / Dead | Living |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Hypothyroidism, treated with medication | 60 |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 46 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 48 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 86 | |
| Health Problem | Heart disease, treated with bypass surgery | 60 |
| High blood pressure, treated with medication | 60 | |
| Diabetes mellitus requiring insulin therapy, due to diet/lifestyle, treated with daily insulin | 72 | |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 82 | |
| Health Problem | Alcoholism, treated with AA meetings, sober for 10 years | 60 |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| 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 | None |
| Denomination | Atheist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: August 2014, October 2014. Update received July 2015: Donor has completed his JD degree; his occupation has changed from Student to Health Care. No change to donor Personal Profile: August 2016. |
| Updates - Medical | No change to donor Medical Profile: August 2014, October 2014, July 2015, August 2016. |
| Updates - Family Medical History | Update received August 2014: Paternal grandmother has died of a heart attack at age 83. Update received October 2014: Paternal grandfather has died of an intestinal infection, age unknown. No change to donor Family Medical History: July 2015. Update received August 2016: Maternal uncle #3 was diagnosed with diabetes in his late 40s. |