Physical
Height:
177 cm
(5'10") |
Weight:
73 kg
(162 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
French-Native American/Dutch
|
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Education:
MD/Neurobiology Medicine
|
Occupation:
Student
|
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Interests:
|
Exercise, Reading
|
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 | 51 | |
Health Problem | Rheumatoid arthritis | 48 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | High cholesterol, regulated with medication | 45 |
Colorblindness | ||
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 23 | |
Health Problem | Possibly ADD(Attention Deficit Disorder) | 17 |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 25 | |
Health Problem | Anemia | 20 |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 81 | |
Health Problem | Blind in one eye | 72 |
Cancerous spot on nose | 81 | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 76 | |
Health Problem | Diagnosed with Systemic lupus | 70 |
Hip replacement | 72 | |
Cause of Death-Systemic lupus | 76 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Quadriplegia | 12 |
Gallstones | 42 | |
Bladder cancer | 53 | |
Living / Dead | Living |
Your Mother's Brothers 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 | 52 | |
Health Problem | Diagnosed with Lung cancer | 51 |
Cause of death - Lung cancer | 52 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | High cholesterol | 72 |
Triple heart bypass | 74 | |
Breast cancer | 80 | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy to my knowledge (estranged) | |
Living / Dead | Living |
Religion:
Faith | Other |
Denomination | Agnostic |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |