Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
195 cm
(6'5") |
Weight:
88 kg
(195 lb) |
Eye Color:
Blue
|
Hair:
Blond/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Dutch-English-German-Norwegian-Scottish-Swedish/Norwegian-English
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Education:
BS/Nursing, BA/Kinesiology
|
Occupation:
Registered Nurse
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Interests:
|
Backpacking, Fly Fishing, Reading, Rock Climbing
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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? | No |
| 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 | 56 | |
| Health Problem | Miscarriage, no treatment received (gave birth to healthy children following miscarriage) | 20 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, treated with exercise and diet-control | 49 |
| Parkinson's Disease, treated with medication | 53 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 34 | |
| Health Problem | Inguinal hernia, no medication or treatment received | 25 |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 26 | |
| Health Problem | Inguinal hernia, treated with surgery | 19 |
| Living / Dead | Living |
Your Brother 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 18 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Brother 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 16 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Brother 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 13 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Brother 6
| Question | Response | Comment/Age Affected |
| Current age or age at death | 12 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Brother 7
| Question | Response | Comment/Age Affected |
| Current age or age at death | 11 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Brother 8
| Question | Response | Comment/Age Affected |
| Current age or age at death | 9 | Half brother |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Drug addiction from ages 13-22, treated with rehab | 13 |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 16 | Half sister |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Sister 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 14 | Half sister |
| Health Problem | Estranged, no medical information available | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| Health Problem | Coronary artery disease, treated with surgery | 80 |
| Stroke, no medication or treatment received | 84 | |
| Cause of death: Stroke | 84 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 81 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| 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 Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: May 2012. Update received November 2012: Donor's occupation has changed from EMT to Student. Update received October 2014: Donor has completed his BSN degree in Nursing and has changed his occupation to Registered Nurse. Update received July 2015: In addition to his BS degree in Nursing, donor holds a BA degree in Kinesiology. No change to donor Personal Profile: June 2016, October 2018, June 2019, March 2020, March 2021. ***Update received April 2021: Donor has agreed to allow the Cryobank to release their identifying information to adult offspring 18 and older who complete the ID donor Contact request process. Please contact Fairfax Cryobank for details.*** No change to donor Personal Profile: February 2022. No change to donor Personal Profile: February 2023. |
| Updates - Medical | No change to donor Medical Profile: May 2012, November 2012, October 2014, July 2015, June 2016, October 2018, June 2019, March 2020, March 2021, February 2022, February 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: May 2012, November 2012. Update received October 2014: Paternal grandfather has died of heart failure. Update received July 2015: Father has died at age 61 of aspiration pneumonia secondary to progressive supranuclear palsy. Update received June 2016: Donor reports the birth of a healthy daughter. Update received October 2018: Maternal grandmother has died of pneumonia at age 94. No change to donor Family Medical History: June 2019, March 2020, March 2021, February 2022. Update received February 2023: Donor reports the birth of a second healthy daughter; Maternal Uncle #1 has died from a stroke, age unreported. |