Physical
Height:
175 cm
(5'9") |
Weight:
68 kg
(150 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Latino
|
Blood Type:
O+
|
Ethnic Background:
Irish-Mexican/Italian-Mexican
|
||||
Education:
BS/Physics, BA/Mathematics
|
Occupation:
Community College Faculty
|
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Interests:
|
Hiking, Rock Climbing, Running, Travel
|
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 | 42 | |
Health Problem | Healthy | |
Miscarriage | 25 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 15 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 12 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 17 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 94 | |
Health Problem | Ulcer, treated with medication | 75 |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 85 | |
Health Problem | Osteoarthritis, treated with medication | 60 |
Pneumonia, treated with hospitalization | 85 | |
Cause of death: Pneumonia | 85 | |
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 Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 6
Question | Response | Comment/Age Affected |
Current age or age at death | 42 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 7
Question | Response | Comment/Age Affected |
Current age or age at death | 39 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Heart attack (no known risk factors), no treatment | 65 |
Cause of death: Heart attack | 65 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Heart failure | 70 |
Cause of death: Heart failure | 70 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Heart failure | 70 |
Cause of death: Heart failure | 70 | |
Living / Dead | Dead |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Stroke, no treatment | 75 |
Cause of death: Stroke | 75 | |
Living / Dead | Dead |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Arteriosclerosis and heart arrhythmia (was overweight) | 66 |
Cause of death: Heart failure | 66 | |
Living / Dead | Dead |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Cause of death: Car accident | 70 | |
Living / Dead | Dead |
Your Father's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Healthy | |
Cause of death: Car accident | 64 | |
Living / Dead | Dead |
Your Father's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 67 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 6
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: January 2015. Update received July 2015: Donor has earned two undergraduate degrees, a BS in Physics and a BA in Mathematics; his occupation has changed from Student to Community College Faculty. |
Updates - Medical | No change to donor Medical Profile: January 2015, July 2015. |
Updates - Family Medical History | No change to donor Family Medical History: January 2015, July 2015. |