Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
5'9"
(175 cm) |
Weight:
136 lb
(61 kg) |
Eye Color:
Hazel
|
Hair:
Blond/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Icelandic-Polish/English-German-Irish
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Education:
BS/Materials Sci., Engineering
|
Occupation:
Process Engineer
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Interests:
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Camp, Guitar, Rock Climb, Tennis, Volleyball
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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 | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Migraines, controlled with medication as needed | 36 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 96 | |
| Health Problem | Coronary artery disease, treated with surgery | 40 |
| High blood pressure, controlled with medication | 40 | |
| High cholesterol, controlled with medication | 40 | |
| Macular degeneration, controlled with medication | 75 | |
| Pneumonia, treated with antibiotics | 90 | |
| Cause of death: Heart failure | 96 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Parkinson's disease, controlled with medication | 65 |
| Cause of death: Parkinson's disease | 80 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Systemic lupus, controlled with medication | 55 |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Obese, no treatment | 40 |
| Breast cancer, treated with surgery and radiation | 45 | |
| Living / Dead | Living |
Your Mother's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 10 | |
| Health Problem | Severe trauma after accidental fall from barn, no treatment | 10 |
| Cause of death: Severe trauma | 10 | |
| Living / Dead | Dead |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Dementia, controlled with medication | 85 |
| Heart failure, no treatment | 85 | |
| Cause of death: Heart failure | 85 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 81 | |
| Health Problem | Osteoarthritis, controlled with over-the-counter medication | 60 |
| 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 |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | None |
| Denomination | Atheist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: July 2015, June 2016. Update received October 2018: Donor has earned a bachelor's degree in Materials Science and Engineering; his occupation has changed from Student to Process Engineer. No change to donor Personal Profile: June 2019. Update provided January 2021: Occupation changed from Process Engineer to R&D Engineer. Update received June 2023: Occupation has changed to Quality Engineer. |
| Updates - Medical | No change to donor Medical Profile: July 2015, June 2016, October 2018. Update received June 2019: Donor has undergone wrist tendon sheath release surgery. No update to medical profile January 2021, June 2023. |
| Updates - Family Medical History | Update received July 2015: Paternal grandmother has been diagnosed with amnesia, age not reported, treatment (if any) unknown. No change to donor Family Medical History: June 2016, October 2018, June 2019, January 2021, June 2023. |