Physical
Height:
170 cm
(5'7") |
Weight:
70 kg
(155 lb) |
Eye Color:
Brown
|
Hair:
Black/
Wavy |
Skin Tone:
Medium
|
Ancestry:
Latino
|
Blood Type:
O+
|
Ethnic Background:
Ecuadorian-Spanish/Ecuadorian
|
||||
Education:
DPM/Podiatry
|
Occupation:
Resident Physician
|
||||
Interests:
|
Jogging, Reading
|
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 | 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 | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Hepatitis A, contracted after eating contaminated food | 55 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | High blood pressure | 55 |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 13 | Half brother |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 37 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 12 | Half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 90 | |
Health Problem | Enlarged prostate | 80 |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 87 | |
Health Problem | Irritable bowel syndrome | 76 |
Anemia | 80 | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Deaf, caused by reaction to Gentamicin after a bacterial infection | 8 |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Stroke | 57 |
Cause of death: Stroke | 57 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 96 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Herniated disc | 45 |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: April 2010, February 2011, February 2012. |
Updates - Medical | No change to donor Medical Profile: April 2010, February 2011, February 2012. |
Updates - Family Medical History | No change to donor Family Medical History: April 2010. Update received February 2011: Mother diagnosed with hypertension at age 65, treated with medication. No change to donor Family Medical History: February 2012. |