Physical

Height:
5'9"
(175 cm)
Weight:
227 lb
(102 kg)
Eye Color:
Blue
Hair:
Brown/
Wavy
Skin Tone:
Medium Light
Ancestry:
Caucasian
Blood Type:
A+
Ethnic Background:
French Canadian-Polish/German
Education:
Master of Social Work
Occupation:
Therapist
Interests:
Guitar, Outdoors, Sports

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:		No
CMV IgG AntibodyNegative
CMV IgM AntibodyNegative
Note any comments regarding above items:N/A

Family Medical History
See list of questions asked here

Your Mother
Question Response
Current age or age at death 60
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Primary Progressive Multiple Sclerosis
33
Medication
Your Father
Question Response
Current age or age at death 62
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Gout
58
Diet
Brothers
Your Brother 1
Question Response
Current age or age at death 33
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Brother 2
Question Response
Current age or age at death 29
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Depression, drug overdose (never diagnosed by a doctor, no longer affected)
23
Hospitalized
Sons
Your Son 1
Question Response
Current age or age at death 5
Living / DeadLiving
Health Problems
Healthy
Daughters
Your Daughter 1
Question Response
Current age or age at death 1
Living / DeadLiving
Health Problems
Healthy
Your Mother's Father
Question Response
Current age or age at death 65
Living / DeadDead
Cause of death and any treatment prior to deathHeart attack
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack (former smoker)
65
None
Your Mother's Mother
Question Response
Current age or age at death 82
Living / DeadDead
Cause of death and any treatment prior to deathComplications of stroke
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus not requiring insulin therapy
75
Diet
Stroke
82
Hospitalized
Your Mother's Sisters 1
Question Response
Current age or age at death 67
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Sisters 2
Question Response
Current age or age at death 66
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Obesity
40
Gastric bypass surgery
High blood pressure
40
Medication
High cholesterol
40
Medication
Your Mother's Sisters 3
Question Response
Current age or age at death 63
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Sisters 4
Question Response
Current age or age at death 56
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Sisters 5
Question Response
Current age or age at death 55
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 1
Question Response
Current age or age at death 68
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Obesity
44
Surgery (stents)
High blood pressure
44
Medication
High cholesterol
44
Medication
Your Mother's Brothers 2
Question Response
Current age or age at death 65
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 3
Question Response
Current age or age at death 62
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 4
Question Response
Current age or age at death 55
Living / DeadDead
Cause of death and any treatment prior to deathSuicide
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Chronic depression, in his 40s
 
None
Your Father's Father
Question Response
Current age or age at death 89
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Melanoma
88
Surgery
Your Father's Mother
Question Response
Current age or age at death 90
Living / DeadDead
Cause of death and any treatment prior to deathComplications of dementia
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Dementia
87
Assisted care, Medication
Your Father's Brothers 1
Question Response
Current age or age at death 66
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy

Religion:

Faith Christian
Denomination Catholic (non-practicing)

Updates to Profile

Update AvailableN/A
Updates - PersonalNo change to donor Personal Profile: November 2021. Update received August 2023: Occupation has changed to Licensed Independent Clinical Social Worker.
Updates - MedicalNo change to donor Medical Profile: November 2021. No change to donor Medical Profile: August 2023.
Updates - Family Medical HistoryUpdate received November 2021: Maternal Uncle #1 has died from renal failure at age 70; Paternal Grandfather has died from congestive heart failure at age 92. Update received August 2023: Donor's Father suffered a stroke at age 65, treated with medication; Donor's Son #1 was diagnosed with dyslexia at age 10.