Physical
Height:
5'10"
(177 cm) |
Weight:
220 lb
(99 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Curly |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
English-French-Irish/Dutch-German
|
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Education:
MST/Teaching
|
Occupation:
Teacher
|
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Interests:
|
BMX, Hunting, MMA, Paintball, Pool
|
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 |
Current age or age at death | 60 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father
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
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 24 - Maternal half brother |
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 | 65 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Stroke |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke (smoker and drinker)
65
None
Your Mother's Mother
Question | Response |
Current age or age at death | 90 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Complications of stroke |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Atrial fibrillation
75
Blood thinners
Broken arm (and so taken off of blood thinners)
90
Hospitalized
Stroke (she died about six weeks later of complications)
90
Hospice care
Your Mother's Brothers 1
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
Your Father's Father
Question | Response |
Current age or age at death | 84 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Ruptured aorta |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Ruptured aorta
84
None
Your Father's Mother
Question | Response |
Current age or age at death | 90 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Natural causes |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Low blood pressure (mild)
70
Medication
Your Father's Sisters 1
Question | Response |
Current age or age at death | 61 |
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 | 60 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 2
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 3
Question | Response |
Current age or age at death | 55 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: August 2018, May 2019. Update received September 2020: Donor's occupation has changed from Security to Teacher. No change to donor Personal Profile : July 2021, June 2022, June 2023. |
Updates - Medical | No change to donor Medical Profile: August 2018, May 2019, September 2020, July 2021, June 2022, June 2023 |
Updates - Family Medical History | No change to donor Family Medical History: August 2018, May 2019. Update received September 2020: Donor Maternal uncle has passed away at age 70. No cause of death was reported. No change to donor Family Medical History: July 2021, June 2022. Update March 2023: A recipient has reported that her daughter is diagnosed with autism spectrum disorder at age 22 months of age. No change to donor Family Medical History: June 2023. |