Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
185 cm
(6'1") |
Weight:
76 kg
(168 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
O-
|
Ethnic Background:
English-Irish-Native American/English
|
||||
|
Education:
BA/Religious Studies
|
Occupation:
Clergy
|
||||
|
Interests:
|
Volunteering, Writing
|
||||
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 | 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 | 51 | |
| Health Problem | Myelodysplasia (Pre-leukemia) - cause of death | 50 |
| Living / Dead | Dead |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 34 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Daughters
Your Daughter 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 5 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 77 | |
| Health Problem | Pneumonia - cause of death | 77 |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Brain tumor - cause of death | 72 |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Prostate cancer - cause of death | 70 |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| 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 | 43 | |
| Health Problem | Ovarian cysts | 36 |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 53 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: July 2012, February 2013. |
| Updates - Medical | No change to donor Medical Profile: July 2012, February 2013. |
| Updates - Family Medical History | No change to donor Family Medical History: July 2012. Update received February 2013: Father diagnosed with heart arrhythmia at age 63, treated with medication; Paternal aunt #3 had a hysterectomy at age 40. |