Donor 5116 - 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	54
Health Problem	Anemia, treated with iron supplements	54
Health Problem	Breast tumor (biopsied and determined to be benign)	54
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	High blood pressure, controlled with medication	50
	Hearing loss, as result of construction employment, treated with hearing aids	50
	Kidney stones, treated with surgery	56
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	27
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	31
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	29
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	80
Health Problem	Urinary tract infection, treated with antibiotics	65
	Pneumonia, no treatment	80
	Cause of death: Pneumonia	80
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	High blood pressure, controlled with medication	65
Health Problem	High cholesterol, controlled with medication	65
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Obesity, treated with gastric bypass surgery at age 50	40
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	54
Health Problem	Fibromyalgia, due to car accident, controlled with medication	40
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Tinnitus, treated with surgery, now using hearing aids	45
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	51
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	77
Health Problem	Overweight, but no diagnosis of obesity, in his late 60s, no treatment	65
Health Problem	Hip deterioration (demanding physical labor and overweight), treated with double hip replacement	70
Living / Dead	Living

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	74
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	51
Health Problem	Obesity, no treatment	35
Health Problem	Depression, controlled with medication and therapy	45
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	46
Health Problem	Back injury due to accidental fall, controls pain with medication	34
Living / Dead	Living

Height: 6'2" (187 cm)	Weight: 207 lb (93 kg)	Eye Color: Blue	Hair: Blond/ Wavy	Skin Tone: Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: Dutch/Dutch
	Education: Health Care MBA		Occupation: Vigilance Specialist
Interests:	Build computers, Perfecting my pizza recipes, Racquetball, Snow Skiing

Faith	Christian
Denomination	Baptist

Update Available	Yes
Updates - Personal	Update received June 2018: Donor has earned a Health Care MBA; his occupation has changed from Health Care Admin/Paramedic to Vigilance Specialist.
Updates - Medical	No change to donor Medical Profile: June 2018.
Updates - Family Medical History	Update received June 2018: Donor's late maternal grandfather was diagnosed with liver cancer at age 79, treated with chemotherapy; Paternal grandfather was diagnosed with Parkinson's at age 65; Paternal grandmother was diagnosed with Alzheimer's at age 70.

Donor Number: 5116

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5116

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here