Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'2"
(187 cm) |
Weight:
164 lb
(74 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
English-Irish-Welsh/Irish-English
|
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Education:
BS/Management
|
Occupation:
English Teacher
|
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Interests:
|
Cooking, Listening to music, Reading, Yoga
|
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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: | Yes - Maternal uncle #3, age 20, Maternal uncle #4, in his 40s |
| 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 | Negative |
| 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 | 65 | |
| Health Problem | Stroke, treated with surgery | 60 |
| Benign brain tumor (discovered during surgery for stroke) | 60 | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Kidney stone, passed naturally | 53 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 27 | |
| Health Problem | Leukemia, treated with chemotherapy and radiation, in remission for 25 years | 1 |
| Mild learning disability attributed to radiation treatment (he is high functioning) | 1 | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | High cholesterol, in his 70s, treated with diet changes | 70 |
| Cause of death: Heart failure | 88 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Obesity, no treatment | 70 |
| Cause of death: Heart failure | 85 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 66 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Traumatic brain injury due to car accident, affected his decision-making ability | 16 |
| Alcoholism (became estranged after accident and began drinking), attends Alcoholics Anonymous | 20 | |
| Living / Dead | Living |
Your Mother's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Alcoholism, in his 40s, treated with Alcoholics Anonymous | 40 |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Healthy | |
| Cause of death: Heart failure | 72 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Alzheimer's, managed in assisted care | 72 |
| Osteoporosis, treatment (if any) unknown | 72 | |
| High blood pressure, treated with medication | 75 | |
| Cause of death: Complications of Alzheimer's | 78 | |
| Living / Dead | Dead |
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 | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update received June 2018: Occupation has changed from Restaurant Manager to English Teacher. No change to donor Personal Profile: June 2019, March 2020. Update received April 2021: Occupation has changed from English Teacher to Customer Service Representative. No change to donor Personal Profile: March 2022, March 2023. |
| Updates - Medical | No change to donor Medical Profile: June 2018, June 2019, March 2020. Update recieved April 2021: Donor reports that he broke a small bone in his foot while hiking at age 30. No change to donor Medical Profile: March 2022, March 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: June 2018, June 2019, March 2020, April 2021, March 2022, March 2023. |