Physical
Height:
177 cm
(5'10") |
Weight:
80 kg
(177 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
English/German-Norwegian
|
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Education:
BS/Chemistry
|
Occupation:
Chemist
|
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Interests:
|
Nutrition, Sports
|
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 | 62 | |
Health Problem | High blood pressure, treated with medication | 55 |
Diabetes mellitus not requiring insulin therapy, controlled with diet management | 57 | |
Uterine cancer, treated with surgery | 62 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 24 | |
Health Problem | Allergy to cats, treated with over-the-counter medication as needed, since childhood | 8 |
Asthma, no treatment, affected during childhood ages 8-12 | 8 | |
Acne, treated with over-the-counter creams, affected during childhood ages 12-16 | 12 | |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 23 | |
Health Problem | Seasonal allergies, treated with over-the-counter medication as needed, since childhood | 8 |
Asthma, no treatment, affected during childhood ages 8-12 | 8 | |
Acne, treated with over-the-counter creams, affected during childhood ages 12-16 | 12 | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Brain hemorrhage, due to smoking, no treatment | 56 |
Cause of death: Brain hemorrhage | 56 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Osteoarthritis, treated with medication | 65 |
Heart failure, no treatment | 75 | |
Cause of death: Heart failure | 75 | |
Living / Dead | Dead |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Heart disease, treated with pacemaker | 50 |
High cholesterol, treated with medication | 50 | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 82 | |
Health Problem | Alzheimer's disease, no treatment | 77 |
Pulmonary embolism, no treatment | 82 | |
Cause of death: Pulmonary embolism | 82 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Waldenstrom's Macroglobulinemia (a type of Non-Hodgkin Lymphoma), no treatment | 84 |
Cause of death: Waldenstrom's Macroglobulinemia | 84 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Heart attack, treated with hospitalization | 57 |
High cholesterol, treated with medication | 57 | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Baptist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: July 2014. Update received August 2014: Donor has completed his degree and is now a research associate. Update received June 2016: Occupation has changed to chemist. Update received September 2018: Donor has qualified as a Certified Transformational Nutrition Coach (CTNC). No change to donor Personal Profile: July 2019, March 2020. Update received August 2023: Occupation has changed to Study Director. |
Updates - Medical | Update received July 2014: Donor has undergone successful Lasik eye surgery and has been prescribed Durezol and Ofloxacin (both are eye drops). No change to donor Medical Profile: August 2014, June 2016, September 2018, July 2019, March 2020, August 2023. |
Updates - Family Medical History | No change to donor Family Medical History: July 2014. Update received August 2014: Father suffered gallstones at age 62, treated with surgery to remove the gall bladder. No change to donor Family Medical History: June 2016. Update 2018: A pregnancy has been reported with a Neural Tube Defect. Any future sales or vial shipments will require an informed consent. Update received September 2018: Maternal uncle #1 has died at age 64 due to worsening heart disease and heart failure. No change to donor Family Medical History: July 2019, March 2020, August 2023. |