Physical
Height:
5'9"
(175 cm) |
Weight:
238 lb
(107 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Curly |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
O-
|
Ethnic Background:
Eng.-Irish-Nat Amer.-Ukrainian/German-Ukrainian-Irish
|
||||
Education:
BS/Mechanical Engineering
|
Occupation:
Student
|
||||
Interests:
|
Skiing, Snowboarding
|
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: | Yes - Pollens, Cat dander: Cause sneezing, runny nose, itchy eyes; Cats used to cause hives (in childhood) but not any more |
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 | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Kidney stones, passed naturally | 23 |
Kidney stones, passed naturally | 25 | |
High blood pressure, controlled with medication | 40 | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 16 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Benign melanoma on nose, treated with surgery | 70 |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 73 | |
Health Problem | Rheumatoid arthritis, treated with medication | 48 |
Chronic obstructive pulmonary disease (COPD), treated with oxygen | 68 | |
Cause of death: COPD | 73 | |
Living / Dead | Dead |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Pancreatic cancer, age at diagnosis unknown, treatment unknown | |
Cause of death: Pancreatic cancer | 72 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 69 | |
Health Problem | Emphysema (life-long smoker), age at diagnosis unknown, no treatment | |
Cause of death: Emphysema | 69 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 40 | (maternal half sister) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 46 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Other |
Denomination | Agnostic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: December 2018. Update received July 2021: Occupation has changed to Engineer. |
Updates - Medical | No change to donor Medical Profile: December 2018. Update received July 2021: Donor had ingrown nails on both big toes removed at age 24. |
Updates - Family Medical History | No change to donor Family Medical History: December 2018, July 2021. |