Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
190 cm
(6'3") |
Weight:
96 kg
(212 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
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Blood Type:
O+
|
Ethnic Background:
Italian-Spanish/Dutch
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Education:
Bachelor of Music/Music Comp.
|
Occupation:
Musician/Studio Engineer
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Interests:
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Stand-up comedy, Writing
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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 - Near-Sighted |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
| CMV IgG Antibody | Negative |
| 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 | 54 | |
| Health Problem | High blood pressure, treats with medication | 53 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 28 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Artery blockages, treated with double bypass surgery | 75 |
| Living / Dead | Living |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Breast cancer, treated with chemotherapy and surgery | 62 |
| Cause of death: Breast cancer | 63 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Heart attack, no treatment | 62 |
| Cause of death: Heart attack | 62 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 40 | |
| Health Problem | Tuberculosis, treatment unknown | 40 |
| Cause of death: Tuberculosis | 40 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Multiple Sclerosis, treatment unknown | 40 |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: September 2013, January 2016, March 2016, July 2016. |
| Updates - Medical | No change to donor Medical Profile: September 2013, January 2016. Update received March 2016: Donor has been diagnosed with Alopecia areata (hair loss) of unknown cause. He has a few patches of hair loss on his scalp. Any future sales or vial shipments will require an informed consent. Update received July 2016: Donor has been diagnosed with Discoid lupus erythematosus. |
| Updates - Family Medical History | No change to donor Family Medical History: September 2013, January 2016, March 2016, July 2016. |