Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'5"
(195 cm) |
Weight:
182 lb
(82 kg) |
Eye Color:
Green
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
English-Irish/Canadian
|
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Education:
BGS/Health and Phys. Education
|
Occupation:
Engineer
|
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Interests:
|
Cello, French Horn, Outdoor Activities, Trumpet
|
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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? | Yes - far sighted, 20/100 |
| 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 | 57 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Thyroid disease
45
Removed thyroid due to benign mass/hypothyroidism, also treated with medication
Other
Diagnosed with bulging disc in back at age 57, treatment not yet determined. Diagnosed with factor V clotting disorder in her 20s, no treatment.
Your Father
| Question | Response |
| Current age or age at death | 72 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Sisters
Your Sister 1
| Question | Response |
| Current age or age at death | 29 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Thyroid disease
29
Hyperthyroidism, treated with medication
Other
Diagnosed with factor V clotting disorder at age 29, no treatment
Your Mother's Father
| Question | Response |
| Current age or age at death | 78 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Pneumonia, hospitalization |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
50
Medication
Your Mother's Mother
| Question | Response |
| Current age or age at death | 75 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Parkinson’s/Alzheimer’s |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
74
Nursing care
Parkinson's disease
74
Nursing care
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 53 |
| 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 | 78 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung Disease, no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Father's Mother
| Question | Response |
| Current age or age at death | 35 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung cancer (smoker), no treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Early death (less than age 50)
35
Lung cancer, no treatment
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 71 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
| Faith | None |
| Denomination | N/A |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: March 2023. |
| Updates - Medical | Update received March 2023: Donor notified staff that he has a scar on his lower back from a benign mole biopsy in 2013. |
| Updates - Family Medical History | Update received March 2023: Donor's father had hernia mesh repair surgery at age 74. |