Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'11"
(180 cm) |
Weight:
145 lb
(65 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
Austrian-Egyptian-Ukraine(Jewish)/Italian-Polish
|
||||
|
Education:
Pursuing BS/Nursing
|
Occupation:
EMT
|
||||
|
Interests:
|
Cooking, Cycling, Tinkering
|
||||
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 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 | 58 |
| 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 | 56 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
40
Medication
High cholesterol
40
Medication
Excess fluid in knee
56
Surgery to drain fluid
Sisters
Your Sister 1
| Question | Response |
| Current age or age at death | 26 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Absence seizures
19
Keppra
Your Sister 2
| Question | Response |
| Current age or age at death | 23 |
| 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 | 58 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Atherosclerosis
50
Medication
Heart attack
58
Fatal
Your Mother's Mother
| Question | Response |
| Current age or age at death | 72 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Died in sleep, no further investigation |
Health Problems
Healthy
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 64 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Breast cancer
50
Chemotherapy
Breast cancer (came out of remission)
55
Mastectomy
Your Father's Father
| Question | Response |
| Current age or age at death | 82 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Died in sleep, no further investigation |
Health Problems
Healthy
Your Father's Mother
| Question | Response |
| Current age or age at death | 43 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart complications |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Scleroderma
40
Medication
Your Father'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
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
40
Medication
Your Father's Brothers 2
| 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
Your Father's Brothers 3
| Question | Response |
| Current age or age at death | 59 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Complications of cerebral palsy |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Cerebral palsy from forcep use at birth
N/A
Your Father's Brothers 4
| Question | Response |
| Current age or age at death | 52 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
52
Stent
Religion:
| Faith | Jewish |
| Denomination | Just Jewish |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | Update received August 2021: Donor is pursuing an Associate's Degree in Marine Science. No change to donor Personal Profile: February 2022. Update received March 2023: Occupation has changed to Information Systems Analyst. |
| Updates - Medical | No change to donor Medical Profile: August 2021, February 2022. Update received March 2023: Donor underwent PRK corrective laser eye surgery at age 30. |
| Updates - Family Medical History | No change to donor Family Medical History: August 2021, February 2022, March 2023. |