Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'2"
(187 cm) |
Weight:
191 lb
(86 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
German-Irish-Polish-Swedish/Polish
|
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Education:
MD/Medicine
|
Occupation:
Physician
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Interests:
|
Basketball, Guitar, Music, Reading
|
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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 | 63 | |
| Health Problem | High blood pressure, controlled with lifestyle changes | 60 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 44 | Maternal half brother |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 42 | Maternal half sister |
| 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 Daughter 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 1.5 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Bone cancer, treated with radiation | 78 |
| Cause of death: Bone cancer | 80 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Cardiopulmonary failure (possibly due to passive smoking), no treatment | 75 |
| Cause of death: Cardiopulmonary failure | 75 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Cause of death: Unknown | 50 |
| Living / Dead | Dead |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Stress, due to military service and family issues, treatment unknown | 55 | |
| Cause of death: Suicide | 55 | |
| Living / Dead | Dead |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Abdominal aortic aneurysm, fatal, no treatment | 60 |
| Cause of death: Abdominal aortic aneurysm | 60 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Heart failure, no treatment | 70 |
| Cause of death: Heart failure | 80 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | None |
| Denomination | Atheist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to profile: October 2020. |
| Updates - Medical | No change to profile: October 2020. |
| Updates - Family Medical History | Update to profile: October 2020. Donor's mother has died at the age of 66 following a diagnosis of pancreatitis. Update October 2022: A recipient reported her child was born with a congenital heart defect. The donor now has a medical restriction. Those with children from this donor may purchase and ship vials after signing an informed consent. |