This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Physical
Height:
6'0"
(182 cm) |
Weight:
197 lb
(89 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Italian/German-Italian
|
||||
Education:
BS/Chemistry
|
Occupation:
Student
|
||||
Interests:
|
Fishing, Mechanic, Sewing, Video games, Volleyball, Weightlifting
|
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: | Yes - Pollens and cats, watery eyes |
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 | 68 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Osteoarthritis
60
Cortisone shots into joints (hands)
Your Father
Question | Response |
Current age or age at death | 62 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Lung Cancer, immunotherapy |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer
61
Immunotherapy, heavy smoker
Color blindness
10
None, red-green colorblind
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 27 |
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 | 91 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Ulcer of stomach/duodenum
91
Medication - ulcers from taking painkillers for leg pain (amputation after an accident)
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 | Parkinson's |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Parkinson's disease
60
Levodopa
Your Mother's Sisters 1
Question | Response |
Current age or age at death | 66 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 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 Mother's Brothers 2
Question | Response |
Current age or age at death | 51 |
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 | 68 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Unknown (estranged) |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
Health problems unknown (estranged)
Your Father's Mother
Question | Response |
Current age or age at death | 34 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Smoke Inhalation from a house fire |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No diagnosed health problems at time of death
Your Father's Sisters 1
Question | Response |
Current age or age at death | 66 |
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 | 67 |
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 | 61 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus requiring insulin therapy
40
Insulin
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |