Physical
Height:
6'0"
(182 cm) |
Weight:
182 lb
(82 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
English-German-Irish-Scottish/Scottish-Welsh-Irish
|
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Education:
BS/History
|
Occupation:
Military
|
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Interests:
|
Running 10ks, Studying history
|
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 | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | High cholesterol, no treatment | 35 |
High blood pressure, no treatment | 35 | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 29 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | 7 | |
Health Problem | Healthy | |
Living / Dead | Living |
Daughters
Your Daughter 1
Question | Response | Comment/Age Affected |
Current age or age at death | 3 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Chronic obstructive pulmonary disease (smoker), treated with oxygen, then in hospice | 65 |
Cause of death: Respiratory failure | 72 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 69 | |
Health Problem | Diabetes requiring insulin therapy, diagnosed in adulthood | |
Cause of death: Insulin overdose | 69 | |
Living / Dead | Dead |
Your Mother's Sisters 1
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 | 62 | |
Health Problem | Healthy | |
Trauma due to vehicle accident | 62 | |
Cause of death: Trauma | 62 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Lung cancer (smoker), treated with chemotherapy | 72 |
Cause of death: Lung cancer | 72 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Liver cancer, treated with radiation and chemotherapy | 51 |
Cause of death: Liver cancer | 53 | |
Living / Dead | Dead |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Baptist but currently attend a Presbyterian church |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: November 2018, September 2020. |
Updates - Medical | No change to donor Medical Profile: November 2018, September 2020. |
Updates - Family Medical History | No change to donor Family Medical History: November 2018, September 2020. |