Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
5'11"
(180 cm) |
Weight:
215 lb
(97 kg) |
Eye Color:
Green
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
German-Irish/English-German-Scottish
|
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Education:
DPT/Physical Therapy
|
Occupation:
Physical Therapist
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Interests:
|
art and music of all types, I love movies, Plastic models, WWII planes
|
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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 - (Mild red-green color blindness) |
| 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 |
Family Medical HistorySee list of questions asked here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | High cholesterol, improved through diet modification | 55 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 36 | |
| Health Problem | Anxiety, treated with medication | 33 |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 34 | |
| Health Problem | Healthy | |
| Red-green color blind | ||
| 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 |
Sons
Your Son 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 0.5 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Hypertension, treated with medication | 60 |
| Gastroesophageal reflux disease, treated with over-the-counter medications | 60 | |
| Osteoarthritis, treated with NSAIDS and exercise | 65 | |
| Esophageal cancer, heavy smoker, treated with surgery and chemotherapy | 66 | |
| Cause of death: Esophageal cancer | 67 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Osteoarthritis, treated with NSAIDS and exercise | 70 |
| Lung cancer, no treatment | 72 | |
| Cause of death: Lung cancer | 74 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 53 | |
| Health Problem | Migraines, treated with medication | 40 |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Anxiety, treated with medication | 50 |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| Health Problem | Heart problems (resulting from childhood rheumatic fever), treated with surgery | 70 |
| Osteoarthritis, treated with NSAIDS and exercise | 75 | |
| Prostate cancer, treated with prostatectomy | 75 | |
| Hypertension, treated with medication | 80 | |
| Parkinson's disease, treated with medication | 82 | |
| Pneumonia, treatment unknown | 84 | |
| Cause of death: Pneumonia | 84 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 86 | |
| Health Problem | Osteoarthritis, treated with hip replacement surgery | 75 |
| Hypertension, treated with medication | 75 | |
| Gall stones, treated with gall bladder removal | 76 | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Methodist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: July 2019. May 2023 |
| Updates - Medical | No change to donor Medical Profile: July 2019, May 2023. |
| Updates - Family Medical History | Update 2017: A child has been reported with Isovaleric Acidemia. The donor is a healthy carrier by default. Partner testing is recommended before use. Children of the donor have a 50% chance of being healthy carriers as well. Any future sales or vial shipments will require an informed consent. No change to donor Family Medical History: July 2019. Update received May 2023: Donor has three children: two sons (ages 9 and 7) and a daughter (age 4), all are healthy; Maternal Uncle #1 suffered a stroke at age 65, treatment unreported; Paternal Grandmother has died at age 88, specific cause of death unreported. |