Donor 4370 - Summary Profile

Physical

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	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Family Medical History
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	28
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	26
Health Problem	Healthy
Living / Dead	Living

Daughters

Your Daughter 1

Question	Response	Comment/Age Affected
Current age or age at death	4
Health Problem	Healthy
Living / Dead	Living

Your Daughter 2

Question	Response	Comment/Age Affected
Current age or age at death	2
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	74
Health Problem	Diabetes requiring insulin treatment	70
	Kidney failure, treated with dialysis	72
	Cause of death: Kidney failure	74
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	High cholesterol, treated with medication	50
	Brain tumor (benign), treated with surgery	52
	Paralysis caused by scar tissue resulting from brain surgery	52
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Heart attack, treated with a stent	42
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	69
Health Problem	Emphysema (smoker), treated with nebulizer, stopped smoking	67
	Pneumonia, treated with medication and hospitalization	69
	Cause of death: Pneumonia	69
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	78
Health Problem	Parkinson's, treated with medication	72
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	39
Health Problem	Leukemia, treated with chemotherapy	36
	Fungal infection following immunosuppression treatment of leukemia, treated with medication	39
	Cause of death: Fungal infection	39
Living / Dead	Dead

Your Father's Sisters 2

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	60
Health Problem	Healthy
Living / Dead	Living

Height: 5'10" (177 cm)	Weight: 170 lb (77 kg)	Eye Color: Blue	Hair: Auburn/ Curly	Skin Tone: Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: English/English-Welsh
	Education: Doctorate of Chiropractic		Occupation: Chiropractor
Interests:	Family time, Food, Outdoors, Reading, Sports

Faith	Christian
Denomination	The Church of Jesus Christ of Latter-Day Saints (LDS)

Donor Number: 4370

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

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

Donor Number: 4370

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here