Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
6'2"
(187 cm) |
Weight:
195 lb
(88 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A-
|
Ethnic Background:
Dutch-German-Swiss/Dutch
|
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Education:
MFA/Music Education
|
Occupation:
Military
|
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Interests:
|
Dungeons and Dragons, French Horn, Marathons, Reading, Skiing, Wrestling
|
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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 - -4.25/-4.25; near-sighted since age 7 |
| 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 | 64 |
| 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 | 68 |
| 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 | 34 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Sons
Your Son 1
| Question | Response |
| Current age or age at death | 3 |
| Living / Dead | Living |
Health Problems
Healthy
Your Son 2
| Question | Response |
| Current age or age at death | 1 |
| Living / Dead | Living |
Health Problems
Healthy
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 | Colon cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus not requiring insulin therapy
68
Diet management
Heart attack
60
No treatment
High blood pressure
55
Medication
Colon cancer
77
None, heavy smoker
Your Mother's Mother
| Question | Response |
| Current age or age at death | 78 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung cancer (smoker) |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 62 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 2
| Question | Response |
| Current age or age at death | 62 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 3
| 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
Disease
Age Diagnosed
Treatment For Condition
Obesity
50
None, lifestyle
Your Mother's Brothers 1
| 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's Father
| Question | Response |
| Current age or age at death | 94 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Prostate Cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Prostate cancer
93
None, opted out of treatment
Your Father's Mother
| Question | Response |
| Current age or age at death | 76 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Stroke |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 70 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
50
None, no complications
Your Father's Sisters 2
| 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 | 72 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
Polio as a child, has complications as an adult (uses wheelchair)
Your Father's Brothers 2
| Question | Response |
| Current age or age at death | 45 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Brain Cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Any cancer not mentioned above
43
Brain cancer, chemotherapy treatment
Religion:
| Faith | None |
| Denomination | N/A |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: May 2023. |
| Updates - Medical | No change to donor Medical Profile: May 2023. |
| Updates - Family Medical History | Update received May 2023: Donor reports the birth of a healthy daughter. |