Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'10"
(177 cm) |
Weight:
133 lb
(60 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Irish-Ukrainian/Italian
|
||||
|
Education:
PhD/Biology
|
Occupation:
Teacher
|
||||
|
Interests:
|
Fencing, Movies, Outdoors, Programming, Reading
|
||||
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 - One species of sage plant causes me to sneeze |
| 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 |
| Current age or age at death | 63 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Migraines
40
Medication
Kidney stones
50
Laser
Your Father
| Question | Response |
| Current age or age at death | 65 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 39 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Brother 2
| Question | Response |
| Current age or age at death | 33 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Father
| Question | Response |
| Current age or age at death | 54 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Car accident |
Health Problems
Healthy
Your Mother's Mother
| Question | Response |
| Current age or age at death | 74 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart failure |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart failure
74
None
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 70 - (Paternal half sister; unsure of age, but the eldest of the three) |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history is unknown)
N/A
Your Mother's Sisters 2
| Question | Response |
| Current age or age at death | 69 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 3
| Question | Response |
| Current age or age at death | 62 - (Maternal half sister) |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Father
| Question | Response |
| Current age or age at death | 93 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
80
Medication
Prostate cancer, in his mid-80s
Unknown
Heart attack, fatal
93
None
Your Father's Mother
| Question | Response |
| Current age or age at death | 91 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Stomach cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stomach cancer
89
Hospice care
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 57 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 1
| Question | Response |
| Current age or age at death | 63 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
| Faith | Other |
| Denomination | Secular Humanist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2019, July 2019, September 2019, January 2020, July 2020. |
| Updates - Medical | No change to donor Medical Profile: February 2019, July 2019, September 2019, January 2020, July 2020. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2019, July 2019, September 2019, January 2020, July 2020. |