Donor 4596 - Summary Profile

Question	Response
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected:	Yes
Any dietary restrictions? If yes, explain:	No
Do you wear glasses or contact lenses? Are you near or far-sighted?	No - (Near-sighted before laser surgery)
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	No
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	62
Health Problem	Crohn's disease, managed with medication	55
Living / Dead	Living

Your Father

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	39	(Half sister)
Health Problem	High cholesterol, controlled with diet management	39
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Esophageal cancer, due to smoking, attempted treatment with chemotherapy	64
Health Problem	Cause of death: Esophageal cancer	65
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Emphysema, due to smoking, treated with nebulizer and oxygen therapy	70
	Diabetes not requiring insulin therapy, controlled with diet management	80
	Esophageal cancer, due to smoking, attempted treatment with chemotherapy	82
	Cause of death: Esophageal cancer	85
Living / Dead	Dead

Your Mother's Sisters 1

Your Mother's Sisters 2

Your Mother's Brothers 1

Your Father's Father

Your Father's Mother

Your Father's Sisters 1

Your Father's Sisters 2

Your Father's Brothers 1

Height: 5'10" (177 cm)	Weight: 214 lb (97 kg)	Eye Color: Blue	Hair: Brown/ Straight	Skin Tone: Light	Ancestry: Caucasian
	Blood Type: A-	Ethnic Background: English-German/Norwegian-German
	Education: BA/Biology		Occupation: Bartender
Interests:	Animals, Fitness, Language, Meditation, Music

Faith	Other
Denomination	Agnostic

Donor Number: 4596

Update Available	N/A
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	N/A