Donor & Family Health History

Medical ProblemDonorFamily
HeartNoneElderly Grandmother:  Heart Attack
BloodNoneNone
RespiratoryNoneNone
Gastrointestinal
NoneNone
Metabolic/Endocrine
NoneUncle:  Diabetic
Urinary
NoneNone
Genital / ReproductiveNoneNone
NeurologicalNone

Father:  Brain Tumor        Sibling: Migraines    

Mental Health
NoneNone
Muscles / Bones / JointsNoneMother:  Osteoporosis
Sight / Sound / SmellNoneNone
SkinNoneNone
OtherNoneNone


Test Results
Test Results
Blood TypeAB+
HIV 1/2 Ab & HIV1 Ag
Nonreactive/Nonreactive
Chlamydia
Swab and urine nonreactive
HTLV-1, 2 Ab
Nonreactive
Chromosome AnalysisNormal Male 46XY
Neisseria gonorrhea
No growth
CMV ScreenNegative
SGPT
Within normal limits
CMV, IgM/Culture
Not Applicable
Sickle cell
Not applicable
Cystic FibrosisNoncarrier of common deletions found in Ashkenazic populations
Syphilis, antibody
Nonreactive
HbsAg
Nonreactive
Tay Sachs & Canavan
Noncarrier of common deletions found in Ashkenazic populations
HbcAb
Nonreactive
Hepatitis C, Ab
Nonreactive
Thalassemia
Normal adult hemoglobin
HCVRNA/HIV-1 RNA
Not done prior to 2004
Notes


Identification #RR281


Pregnancy Proven - Yes
Physical & Personal Characteristics


Date of Birth (Y)1971
Place of BirthNew York
Height5'6"
Weight165
Eye Color
Brown
ComplexionMedium
Hair
Dark Brown, Curly
Right Handed     X
Left Handed
Religion Born IntoJudaism
Married   No
HeritageLatvian and eastern European

Occupation Lawyer

Years of College  7
Interests Reading, Athletics



Notes Standard (ICI) vials available.  Limited supply.



Family History


Family MemberOccupation
Level of Schooling
MotherLibrarian

M.S. Degree
FatherPhysician
M.D. Degree




Family MemberAge if LivingAge at DeathCause of Death
Mother69


Father
62
Brain tumor
Maternal Grandmother
85
Old Age
Maternal Grandfather
73
Pneumonia
Paternal Grandmother

80's
Heart problems
Paternal Grandfather

75
Unknown
Sisters39, 37, 28


Brothers48, 41