Donor Abstract 

IDENTIFICATION NO. RR307 DATE 10/1999

 PHYSICAL AND PERSONAL CHARACTERISTICS
DOB (M/Y) 05/1963 PLACE OF BIRTH  New York
HEIGHT 5'8" WEIGHT 133
EYE COLOR  Hazel COMPLEXION Medium
HAIR Dark Brown, Straight RIGHT HANDED  X LEFT HANDED
RELIGION BORN INTO Judaism MARRIED No NO. OF CHILDREN none
YRS OF COLLEGE 8 OCCUPATION Ph.D. Candidate Linguistics HERITAGE Polish,
                  Austro-Hungarian 
INTERESTS soccer, running, fishing

 TEST RESULTS
Blood Type O Positive HIV 1/2 Ab. & HIV 1 Ag.  Nonreactive
Chlamydia Negative by PCR HTLV-1,2 Ab. Nonreactive
Chromosome analysis Normal Male 46XY Neisseria gonorrhea None Isolated
CMV, IgG Nonreactive SGPT Normal
Cystic Fibrosis Negative for 33 mutations Sickle cell Not Applicable
Group B streptococcus No Growth Syphilis, antibody Nonreactive
HbsAg & HbcAb Nonreactive Tay Sachs & Canavan Noncarrier for
                                   common mutations
Hepatitis C, Ab Nonreactive Thalassemia Normal Adult Hemoglobin
Trichomonas & yeast Not Present  

 DONOR AND FAMILY HEALTH HISTORY
MEDICAL PROBLEM DONOR RELATIVE

HEART

None

 Father: high blood pressure
Grandparent: Stroke

BLOOD

 None  None
RESPIRATORY Hay fever as a child Sibling: Asthma
GASTROINTESTINAL None None
METABOLIC/ENDOCRINE None Father: Diabetes at age 45
URINARY None   None 
GENITAL/REPRODUCTIVE SYSTEM None  None
NEUROLOGICAL None None
MENTAL HEALTH None  None
MUSCLES/BONES/JOINTS None None
SIGHT/SOUND/SMELL Deviated Septum,  Nearsighted None
SKIN None None
OTHER None None

 FAMILY HISTORY
LEVEL OF SCHOOLING: Mother High School Father High School
OCCUPATION: Mother Business Owner Father Business Owner
 
  AGE IF LIVING AGE AT DEATH CAUSE OF DEATH
MOTHER 56
FATHER 59
MATERNAL GRANDFATHER  80
MATERNAL GRANDMOTHER 65 Heart Failure
PATERNAL GRANDFATHER  78 Respiratory Complications
PATERNAL GRANDMOTHER  76 Old Age
BROTHERS 29    
SISTERS 33    

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