Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
175 cm
(5'9") |
Weight:
98 kg
(217 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
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Blood Type:
A-
|
Ethnic Background:
Welsh/English-Scottish
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Education:
MS/Software Engineering
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Occupation:
Real Estate
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Interests:
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Archery, Building things, Computer Programming, Drums, Gardening, Hiking
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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 | 64 | |
| Health Problem | Neuroendocrine cancer, treated with surgery | 60 |
| Cause of death: Neuroendocrine cancer | 64 | |
| Living / Dead | Dead |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 66 | |
| 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 |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 36 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| 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 Daughter 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 3 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 98 | |
| Health Problem | Heart attack, treated with medication | 90 |
| Cause of death: Unknown | 98 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 86 | |
| Health Problem | Osteoporosis, in her 80s, treated with supplements | 80 |
| Cause of death: Unknown | 86 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 79 | |
| 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 | Multiple sclerosis, treated with medication and physical therapy | 55 |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Cardiovascular disease, in his 70s, treated with medication | 70 |
| Type 2 diabetes, in his mid- to late-70s, treated with medication | 75 | |
| Cause of death: Cardiovascular disease | 78 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Episcopalian |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: September 2016, January 2018, April 2018, November 2018. |
| Updates - Medical | No change to donor Medical Profile: September 2016, January 2018, April 2018, November 2018. |
| Updates - Family Medical History | Update received September 2016: Paternal grandmother has died at age 92 of calcification of the aorta which caused ischemic bowel and gangrene. No change to donor Family Medical History: January 2018, April 2018, November 2018. Update August 2022: A pregnancy from a recipient is reported with anencephaly, a neural tube defect. Any future sales or shipments will required an informed consent. Update September 2022: A pregnancy from a recipient is reported with a congental heart defect, hypoplastic left heart. Any future sales or shipments will required an informed consent. |