Physical
Height:
5'6"
(167 cm) |
Weight:
175 lb
(79 kg) |
Eye Color:
Brown
|
Hair:
Black/
Straight |
Skin Tone:
Medium
|
Ancestry:
Asian
|
Blood Type:
O+
|
Ethnic Background:
Indian/Indian
|
||||
Education:
MD/Medicine
|
Occupation:
Physician
|
||||
Interests:
|
Skiing, Soccer, Tennis, Weightlifting
|
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 | 65 | |
Health Problem | High blood pressure, treated with medication | 61 |
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 |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | 2 | |
Health Problem | Healthy | |
Living / Dead | Living |
Daughters
Your Daughter 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 | 83 | |
Health Problem | Prostate cancer, treated with surgery | 72 |
Stroke, treated with medication | 79 | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Colon cancer, treated with surgery and chemotherapy | 67 |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 71 | |
Health Problem | Heart attack, no treatment | 71 |
Cause of death: Heart attack | 71 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 92 | |
Health Problem | Healthy | |
Cause of death: Natural causes | 92 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 67 | |
Health Problem | High blood pressure, treated with diet and exercise | 62 |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Heart attack, no treatment | 72 |
Cause of death: Heart attack | 72 | |
Living / Dead | Dead |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Osteoarthritis, treated with medication | 60 |
Living / Dead | Living |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Other |
Denomination | Hindu |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: December 2015, February 2016. |
Updates - Medical | No change to donor Medical Profile: December 2015, February 2016. |
Updates - Family Medical History | Update received December 2015: Maternal grandfather diagnosed with a left inguinal hernia at age 87, treatment (if any) not reported. Update received February 2016: Maternal grandfather diagnosed with low-grade bladder cancer at age 87, treatment (if any) not reported. |