Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
177 cm
(5'10") |
Weight:
63 kg
(139 lb) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
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Blood Type:
O+
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Ethnic Background:
Austrian-Jewish-Polish-Russian/English-German
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Education:
BA/Music
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Occupation:
Musician
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Interests:
|
Chess, Movies, Reading
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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? | 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 | 56 | |
| Health Problem | High blood pressure, treated through diet control | 50 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Asthma, treated with an inhaler as needed | 1 |
| Acne (from age 15-18), no medication or treatment received | 15 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 31 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 28 | |
| Health Problem | Healthy ( fraternal twin) | |
| Living / Dead | Living |
Your Brother 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 28 | |
| Health Problem | Healthy (fraternal twin) | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Progressive kidney disease, attempted treatment with dialysis | 60 |
| Cause of death: Kidney failure | 63 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 76 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| 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 | 86 | |
| Health Problem | Asthma, treated with medication as needed | 1 |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| Health Problem | Cataracts, no medication or treatment received | 82 |
| 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 | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | None |
| Denomination | Atheist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2013, July 2015, September 2016, October 2018, April 2019. |
| Updates - Medical | No change to donor Medical Profile: February 2013, July 2015, September 2016. Update received October 2018: Donor has been diagnsosed with testicular cancer, treated with surgery. Any future sales or vial shipments will require an informed consent. No change to donor Medical Profile: April 2019. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2013. Update received July 2015: Paternal grandmother died of heart failure at age 87; Paternal grandfather also died of heart failure at age 87. No change to donor Family Medical History: September 2016, October 2018. Update received April 2019: Father has died by accident at age 65. |