Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'11"
(180 cm) |
Weight:
214 lb
(97 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
Swedish/Norwegian
|
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|
Education:
BA/Fine Arts
|
Occupation:
Artist/Teacher
|
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|
Interests:
|
Carpentry, Painting, Reading
|
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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: | 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 | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 25 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 27 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 68 | |
| Health Problem | War injury in his early 20s (shrapnel in hip during WWII) left him in a wheelchair | 20 |
| Cause of death: Heart failure | 68 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 89 | |
| Health Problem | Dementia (treated with assisted care) | 89 |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | High cholesterol (treatment unknown) | 60 |
| Heart disease (treatment unknown) | 60 | |
| Cause of death: Complications of heart disease | 65 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Healthy | |
| Cause of death: Heart failure | 85 | |
| Living / Dead | Dead |
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 | 57 | |
| Health Problem | Healthy | |
| Cause of death: Car accident | 57 | |
| Living / Dead | Dead |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 66 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update received August 2016: Occupation has changed from Artist to Artist/Teacher. No change to donor Personal Profile: July 2018, May 2019, March 2021. Update received February 2020: Occupation has changed from Artist/Teacher to Artist/Designer/Business Owner. No change to donor Personal Profile: February 2022, March 2023. |
| Updates - Medical | No change to donor Medical Profile: August 2016, July 2018, May 2019. Update received February 2020: Donor had hip surgery following an injury. Update received March 2021: Donor had surgery to replace left hip at age 36 following injury sustained at age 34. No change to donor Medical Profile: February 2022, March 2023. |
| Updates - Family Medical History | Update received August 2016: Maternal grandmother has died of natural causes at age 94. No change to donor Family Medical History: July 2018, May 2019, February 2020, March 2021, February 2022, March 2023. |