Physical
Height:
6'0"
(182 cm) |
Weight:
205 lb
(92 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
A-
|
Ethnic Background:
French-German-Polish/German-French-Polish
|
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Education:
BS/Economics and Statistics
|
Occupation:
Financial Consultant
|
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Interests:
|
Frisbee, Golf, Networking, Running
|
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 - Near-sighted |
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 | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | High blood pressure, controlled with diet management | 50 |
Irregular heartbeat, no treatment | 61 | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 29 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Liver failure, no treatment | 75 |
Cause of death: Liver failure | 75 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 88 | |
Health Problem | Glaucoma, treated with medication | 75 |
Lung cancer, due to smoking, no treatment | 85 | |
Cause of death: Lung cancer | 88 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Multiple sclerosis, controlled with medication | 52 |
Cause of death: Multiple sclerosis | 55 | |
Living / Dead | Dead |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 79 | |
Health Problem | Diabetes mellitus not requiring insulin therapy, controlled with diet management | 45 |
Parkinson's disease, no treatment | 45 | |
Cause of death: Parkinson's disease | 79 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 78 | |
Health Problem | Breast cancer, attempted treatment with chemotherapy | 75 |
Cause of death: Breast cancer | 78 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: January 2015, October 2015, December 2018, June 2021, August 2023. |
Updates - Medical | No change to donor Medical Profile: January 2015, October 2015, December 2018, June 2021, August 2023. |
Updates - Family Medical History | Update received January 2015: Father has been diagnosed with atrial fibrillation at age 63, treats with medication. No change to donor Family Medical History: October 2015. Update received December 2018: Donor reports the birth of a healthy son. Update received June 2021: Donor reports the birth of a second healthy son. No change to donor Family Medical History: August 2023. |