Oregon Health & Science University                                         PROFILE FOR SPERM DONOR  #6220

Andrology/Embryology Lab

3303 S.W. Bond Ave., 10^th floor

Portland, OR 97239

Phone:  (503) 418-3700

 

PHYSICAL CHARACTERISTICS

 

FAMILY AND MEDICAL HISTORY

For each item below, if there is a history of the condition, the condition poses a risk of one percent or less to offspring.

The family relationship is indicated.

 

ABBREVIATIONS:                                      M=Mother, or Maternal    S=Sibling                         F,P=Father, or Paternal

N=Nephew or Niece                                              GF, GM=Grandfather, Grandmother

A=Aunt                             U=Uncle                        C=Cousin

 

MEDICAL HISTORY COMMENTS:  The donor’s mother (age 54), father (54), PGF (78), PGM (75), a few P uncles (44-53), a few M uncles (39-53) and a few siblings (16-24) are all living and in good health.  The family lost contact with the MGF a long time ago so there is little information. The MGM died at age 62 of lung cancer (smoked all her life).

 

Donor’s vision:  glasses/contacts but still relatively good vision.

Donor’s hearing:  good.

Donor’s dental history:  removed wisdom teeth at age 20 and wore braces from age 13 to 15

 

 

OCCUPATION:  Full time student/Air Force

 

RELIGION:  Christian

                                                                                                                                                   

1. Do you have any special talents?

I play percussion and specifically the keyboard instruments (piano, marimba, xylophone, etc) and have a great sense of rhythm and timing.  I’m good with math and numbers.

 

2. Are there any special talents that seem to run in your family? (athletics, music, artistic, etc.)

My younger siblings and I all play musical instruments.  I’m an engineer, my father is an accountant, and his father (among other things) was an entrepreneur/investor, so I’d say that good math skills and other number skills run in the family.  Spelling and creativity run in it too.

 

3. What are your interests and hobbies?

I love music.  Playing it, listening to it, watching it in concert, and everything else about it.  I started band in the 5^th grade and did it all through high school and off and on in college.  In high school I was in several school bands, but my favorite was always marching band because the music we played was more challenging and the performances and competitions were really exciting.  I was part of the drum-line and enjoyed it very much.

I like to be physically active.  I enjoy running, lifting, and swimming.  I started running marathons in college.

I love skiing and go whenever I can.

I started models when I was in middle school/junior high.  I still enjoy putting together models even though I don’t have a lot of time for them.  From a very early age I loved to color and draw.  To this day I’ll still make a few crayon drawings every now and then.

Anything that lets my creative side shine through...making scrapbooks, pottery, ceramics just to name a few.

 

4. What did you enjoy studying in high school and college?

In high school I was very interested in history, geography, music, social studies, and computers.  I still had those interests in college, but I really enjoyed my electrical engineering classes (more specifically digital logic and computer organization classes) because I felt that creativity was key to solving a lot of the problems.  I enjoyed the challenge of finding a new way to solve a problem.

 

5. High School GPA  I had a 4.1 going into senior year, but graduated with a 3.8 I think.  It’s not that I slacked during my last year, quite the opposite.  I was the leader for several groups and didn’t put as much time towards studying as I did in the past.                      

 

College GPA            3.0                               I.Q.  unknown

 

6. How would you describe your personality characteristics?

Shy, funny, serious, caring towards friends, love my parents, leader, very trusting of others, creative, critical thinker.

7. Why do you want to be a sperm donor?

There was a whole section about reproductive technology in a college sociology/ethics class I took and I felt that I would be an acceptable donor.  I researched it online and felt that if I could help other people then I should.

 

Additional Descriptive Characteristics:

 

Handedness:  Right                                                                   Foot/Shoe Size:  10.5

 

Hairy Chest:   I have chest hair but I wouldn’t describe my chest as a “hairy chest.”  When I think of “hairy chest” I think of Sean Connery.  I’d describe it as “the amount of hair that every man should have.”  Not too little but not too much.  I have some on my upper chest and some around my belly button.

 

Hairy:  No

 

Beard Color:  It seems to have a few different colors here and there.  It appears to be mostly dark, black with brown, and then some reddish and blonde mixed in there.  When it’s stubbly it looks black unless you’re right next to my face.

 

Any Distinguishing Features (Dimples, Cleft Chin, Roman Nose, Freckles, etc.):

Couple freckles here and there but they don’t dominate my skin.  Three or four on my arm, couple on my back, few on my neck, that sort of thing.

 

Acne problems:

Trouble with facial and back acne as teenager.  Dissipated after puberty.

 

Reactivity/Sensitivity to sun exposure:

Nothing out of the ordinary.  I burn when I don’t use sunscreen, but otherwise I’m fine in the sun.

 

Family Social History:       

	Education	Occupation	Interests	Eye color	Hair color	Height	Body Type
PGF	high school	6 years in army (Korea), accountant, owned his own business, entrepreneur	read, handy-man, cook, music, fishing, gardening, scoutmaster, little league baseball	brown	brown	5’8”	medium
PGM	high school	stay at home mom, secretary	read, fishing, gardening, den mother	blue	blond	5’6”	medium
MGF	graduated 8th grade	interior painter, truck driver	Navy for WWII, nothing else known	blue	blond	5’7”	medium
MGM	graduated 8th grade	switchboard operator	read, puzzles, cards	brown	light brown	5’5”	medium
Father	BA (Accounting)	finance department manager	outdoor sports, racquet sports, handyman, read, golf	brown	light brown	5’7”	medium
Mother	high school	secretary	read, crafts, stained glass, sew	blue	light brown	5’5”	medium
Brother	completing high school	student	outdoor sports, music (percussionist)	brown	light brown	6’1”	tall/ medium
Sister	BA (English)	pastry chef	cooking, reading, crafts	green	light brown	5’6”	large
Sister	completing college degree in elementary education	student, resident assistant in her dorm, daycare worker, summer camp counselor	crafts, outdoor sports, children, music (clarinet and woodwinds)	green/ blue	light brown	5’4”	petite

                                                           

Comments about or additions to your family history:

Don’t really keep in close contact with relatives, so I couldn’t tell you anyone’s interests besides maybe golf for my father’s siblings.  All five of my PGM/PGF children live in different time zones and my mother’s siblings are the same way.  It was easier when we all lived in the Midwest but that hasn’t been the case for about 12 years.

Father’s brothers’ occupations have included high level managerial positions at large corporations, as well as small business entrepreneurs.  The only grandchild older than my sister and I has climbed her way to a supervisor/managerial position.

Only known mother’s brother has worked in advanced technical jobs at semi-conductor/electronic companies.  Cousin’s unknown.

Donor 6220 Evaluation by Paula Acker LCSW, Licensed Clinical Social Worker and  Infertility Counselor

 

Referral Information:  Donor #6220 was referred for a psychological evaluation by OHSU Fertility Consultants to be an anonymous donor. Prior to this evaluation he had a medical evaluation.  This evaluation followed the guidelines of the American Society of Reproductive Medicine Mental Health Professional Group recommendations for anonymous donors and included the PAI psychological testing and results will follow in this report.

 

Motivation for Donation:  Donor is a college student and he was initially interested in becoming a donor for the financial compensation but he has sense learned more about why people need sperm donors and became very satisfied to help others have the families that they longed for.  He is not new to volunteering however. He started being a community volunteer while in high school and is also a blood donor.  Recently he also volunteered to be a bone marrow donor in the event he is a match for someone who needs assistance.  Last year he took a class in college in which he learned more about being a sperm donor and feels very positive about the opportunity to participate in helping others. His girlfriend is also supportive of his decision to donate.

 

Informal Mental Status and Behavioral Observations:  This Donor is probably one of the nicest people I have ever met and the most likely young man with a big smile and a very kind and caring spirit. He was on time to this evaluation and appropriately dressed. His mannerisms and language skills were in the normal range and he was oriented to person, place and time and did not display any cognitive deficits whatsoever.  He was very warm and engaging in his style and appeared very open and honest in his approach to his life.  He is very goal directed and self supporting with excellent career and personal life goals.

 

Brief Psychosocial History:  Donor grew up in the Midwest.  He is from a family of four children.  His father and mother divorced when he was in grade school. He reports that both of his parents are in good health. His father is an accountant and is mother is a secretary.  Both are in long term relationships. He is in the Armed Forces and has a job awaiting him but may continue his education and go to graduate school.  The service will pay for this for him.  He is in a new relationship with a young woman. 

 

Brief Psychological History:  Donor states there is no history of mental illness in the family of origin. He has sought professional guidance through counseling during college for the emotional issues he faced due to a breakup of a relationship.  He felt it was very helpful to him. He has never experienced any depression or been prescribed any antidepressant medication. He does not use recreational drugs. He is a non-smoker and is a non-drinker. He decided that during college he wanted to be very clear thinking and enjoy the entire experience and to have a healthy lifestyle without alcohol. His friends have joined him and they are all having a lot of fun.  He reports there is no history of alcoholism in his family of origin.  He has no legal or financial problems and has never had a bankruptcy.  He says that he is an excellent money manager as he grew up in a family that had very few financial resources due to divorce so he learned about how to be careful with his funds.

 

Hobbies and Interests:  Donor #6220 has many talents and they include skiing, running marathons, and working with his hands. He loves to build model airplanes, work on circuit boards and work out. He is a very attractive man and looks to be in excellent condition.  He works out at least every other day. 

 

Psychological Testing:  The PAI clinical profile indicates no elevations that should be considered to indicate the presence of clinical psychopathology.  The test was entirely within the normal limits. He reports no problems with drug abuse or alcohol dependency, marked anxiety, antisocial behavior or extreme moodiness.  His temper is in the normal range and he has positive self esteem.

 

Recommendation:  Donor #6220 meets the psychological criteria for being an anonymous donor based on the guidelines of the American Society of Reproductive Medicine Mental Health Professional Group recommendations.  His clinical interview along with is PAI testing were in the normal range and therefore he is recommended as an anonymous donor. He would like to be an Information Release Donor and volunteered he would be willing to be contacted for any reasons should a need arise. This very attractive and engaging intelligent man was a pleasure to meet and get to know.  He is the kind of person that would attract many friends as he has such a likeable personality and smiles often.

 

 

Paula Acker LCSW

                                                          

 

1. In general, please describe your childhood.

Looking back, I enjoyed my childhood very much.  We only moved twice: once when I was about 2 (only about an hour away from the first house) and then again when I was about 13 (across country).  I have a lot of fond memories from the second house.  There were woods and fields nearby that my friends and I played in, and I rode my bike around a lot for fun.  Of the three houses we lived in, the second one will always be ‘home.’

I have an older sister, younger sister, and younger brother.  We’re each separated by about 2 years. My older sister and I didn’t quite get along.  We never hated each other or anything, but we did have our quarrels.  My younger siblings always looked up to me and in school always did the same sports/clubs/activities that I did.  I was always very close to my younger siblings.  I got along great with my younger siblings, besides the normal ‘sibling stuff.’

 

2. Were there any family members other than your parents and siblings with whom you regularly had contact?

We lived about 2 hours from my mother’s parents and about 4 hours from my father’s.  Our parents made it a point to visit both sets of grandparents whenever they could.  We visited one or the other maybe once a month or so, mostly in time for 3 day weekends (from school) and holidays.  Whenever we were over at my grandma’s house (mother’s mom), she would always find things for me to take apart.  Old TV’s or radios, things like that.  I had fun using screwdrivers and hammers to open them up.  I remember when I was around 10 I stayed with my grandma (my mother’s mom) for a few days.  It was my ‘special weekend’ with her because my family had dropped me off there to spend time with her.  She lived in a big city and so we toured around downtown, visited the skyscrapers, went to a baseball game, went to the museums and the aquariums, etc.  I also spent a month at my father’s parent’s house the summer between 7^th and 8^th grade.  I helped up around the house with yard work and house projects for my grandpa.  We did things like fix the garbage disposal, helped build a deck for a nearby uncle, fix up the dog kennel, re-wire some lights and fans in the house, and put up chain link fencing.  I had a lot of fun learning all sorts of handy-man skills.

I had a neighborhood friend that was a big brother to me for the entire time we were at the second house. He was five years older than me (about the same age difference between me and my little brother). He shared his interests with me and looked out for me. Looking back I think he taught me how to be a good big brother for my little brother.

 

3. As a child, what was/were your favorite:     (Please include a reason, or why, if you can.)

 

Food(s)?       Spaghetti, my mom’s broccoli cheese soup, and grandma’s chili (dad’s side).  I don’t know why spaghetti… After we moved for the final time the broccoli soup always made me think of our second house, and the chili because it was really, really, good and only my grandma could ever make it just right. 

 

Color(s)?      As a child: Blue (now my favorite is cobalt blue).  There was a time when I was maybe 4 or 5 and we were at a carnival.  We were playing those ‘spinning color-wheel games’ and I picked green and ended up winning a big stuffed animal frog.  Well my sister got really mad at me for picking ‘her favorite color’ and was upset about it for a while.  I don’t know what made me pick green, I liked blue more.  Maybe I just wanted to be like her, but from then on Blue was always my favorite color.

Toy(s)?         Lego’s.  I loved to build with them, loved to create new things.  I even had them organized by color, shape, size, etc.

                        I loved to ride my bike around.  I’d ride it in the neighborhood, through the fields and woods, around town.  Anywhere I could. 

                        I liked to play with little green army men and action figures.

                        I started putting together models when I was in middle school.  They started off simple, but as I got older and into high school they became more and more complex.

 

 

Indoor game(s)?     The card game ‘war’, Uno, Monopoly, Sorry, Scrabble, Connect-Four, chess, Nintendo NES (Dr. Mario, Mario 1 and 3), hide-and-seek, crafts (I remember doing this with my mom and sisters like painting shirts, Christmas ornaments, painting on plates, those things with the plastic beads that you melt and they look like stained glass, and a bunch more).

 

Outdoor game(s)?  Tag, riding my bike, hide-and-seek (at night with a flashlight was our favorite), swimming, building snow forts, sledding.  We loved when our mom would take us to all sorts of parks so we could play on the playground.

 

Book(s)?       I’ll always remember learning to read with my Nate the Great books.  He was a child who went around pretending to be a detective.  He had his dog and this girl as friends.  Bearenstein bears was another children’s series I loved to read.  Later on I remember reading detective books, sci-fi books, lots of history books, adventure books.  I can remember specifically reading those Animorphs books…

 

Sport(s)?      In grade school I played T-ball then slow pitch soft ball.  I didn’t like it at all, or other sports for that matter.  Then in my middle school years I started playing golf.  The summer between 6^th and 7^th grade I played golf every other day for the entire summer. I liked it a lot.

           

Other activity(s)?    I started a ‘radio’ show in the 4^th grade that we did for two years.  There were 3-4 of us who put together a script that included stuff about the school, news, sports, and weather and read it over the intercom system at the end of the day every Friday.  In 4^th grade we would get up in the front of the class, sit behind this long table, and read the news like anchormen.  Then in 5^th grade we got the idea to do it on the intercom so the whole school could hear.  I made up a logo and stationary and gave each of us titles and everything.  We interviewed people like school staff and local radio DJ’s.  It was a lot of fun.

In middle school I was on our school’s ‘quiz bowl’ team (kind of like team jeopardy for kids).

I was in the science Olympiad in grade school.  Teams had to build things like a little car that rolled down a ramp made out of glue and sticks, or make a cradle to keep an egg safe from a drop.  It was fun because we got to make stuff and compete against other teams.

We also went fishing and camping a lot.  My dad liked to fish so he would take us kids on the weekends and things.  I was always afraid of the live worms though.  They were slimy and wriggly and I thought they were going to bite me…

I was always drawing too.  One year for Halloween I was an artist, and I wore my costume out to places (I think it was around 1^st or 2^nd grade).  I remember I wore it to the movies and accidentally spilt my pencils that were in my shirt pocket all over the theater floor.  I had lots of crayons, colored pencils, drawing notebooks, etc.  I still color with crayons…

 

4. What is your earliest memory?

I’m not sure if it’s my earliest, but I can remember being downstairs on the couch in the living room as my mother was leaving to deliver my little brother, so I was about 5 at the time.  It was in the middle of the night and my dad was leaving with my mom and my friend’s mom was going to stay with us till they got back.  I remember them saying something about how I was a night owl and that’s why I wasn’t asleep.  I remember a few other things, like trips to the store, and being outside, but that’s the only early memory where I know my age.

I read somewhere that you start developing memories after you begin to speak.  I didn’t start talking until I was four, so if that’s true then it makes sense why I don’t have very many early memories.

 

5. What did you do during the summers?

Throughout my elementary and middle school years my mom signed us up for summer classes at a community college.  The classes were designed for kids and so they were always really fun.  I always found classes I was interested in.  I remember taking social studies, cartooning, pond/water ecosystems, and space classes.  She also gave us workbooks to do (math, reading, etc) to keep our skills sharp for the next school years.  My mother supplied a very nurturing and learning-friendly environment.  She was always taking us to museums and aquariums and this ‘discovery zone’ place that had all these cool hands-on exhibits that kids could play with and huge playground outside in the back.

I played outside a lot with friends.  Riding bikes around, playing flashlight tag at night, catching lightning bugs in the back yard with my siblings.  There were a lot of woods to play in and explore.

Read books from the library for the ‘summer-reader’ program in grade school.  If you read a certain number of books you got certain prizes.  Reading was fun for me.

 

6. Are there any “new” technologies you remember becoming available during your childhood which now are commonplace in our society, or which have now been replaced by a newer technology?

We had an original Nintendo (NES) and later a Nintendo64.  We also had a computer.  We had a bunch of ‘learning’ games we played on it; games to help with math and science skills.  I remember in grade school we would play ‘Oregon Trail.’  Computers changed very rapidly when we were in school.  I finished 8^th grade I saw the radical technological progress of the 90’s unfold before my eyes.  The internet matured probably about the time I was in 8^th grade.  That’s when I started using AOL instant messenger and when I got my first email account.

 

7. Did you enjoy school as a child?  Do you have any memories of teachers that influenced you, or that you especially liked (or disliked)?

I always enjoyed school. I was very eager to learn as much as I could about everything.

I had two teachers in middle school who were my favorite and helped me grow in my adolescence.  They really pushed me and challenged me.  I had one in 4^th grade and then when I was in 6^th grade she moved up and taught in 6^th grade, so I had her for those two years.  I had the other in 6^th grade as well and he really sparked my interest in history.  He was also the coach for our quiz bowl team.

In 3^rd grade I had a teacher who I didn’t get along with.  I always felt that she was out to get me.  Part of the problem was my handwriting and my ‘disinterest’ in learning how to write in cursive.  I didn’t have the best handwriting when I was younger, mostly because I wrote fast.  Well, in 3^rd grade we were learning cursive and I absolutely hated it.  It was hard for me, and I had to write slowly.  It was very frustrating for me.  I never use cursive anymore.  I hate reading things from people who write in cursive because even after all these years it still conjures up those bad memories.

 

8. Did you have chores or tasks that you were regularly expected to do?

We kept the house clean but I don’t think we had any set chores.  I know I had to clean the bathrooms and toilets in the house for a while.  When I was in middle school I used to make a mess in the bathroom, so as punishment my mom assigned me to clean the bathrooms.  I don’t remember how long I had to do it, but it seemed like forever.  It worked though: I don’t make messes in the bathroom anymore!  I helped dad with yard work.  I was very excited the first time I got to mow the yard with the rider mower.  After that I mowed it once a week.  I shoveled the snow in the winter too.

 

9. Any other recollections of importance that come to mind?

I took tap lessons for 3-4 years, starting when I was about 5 or 6.  I think the first two were by myself and then the last few my dad did it with me.  There were recitals and stuff.  It was a lot of fun and great to do with my dad.  My mom told me that I saw Donald Duck tap dancing and I told her that’s what I wanted to do, so she found a program for me.

My parents were on the lower end of middle class but they supported my siblings and me every way they could (such as the tap lessons and summer school).  When it came to pursuing something I felt strongly about my parents having never told me ‘no’ and never said “you can’t do that because you’re not ___ enough.”  I tried my best at everything and succeeded at most.  I’ve always had great self-motivation and self-determination.  I was never scared to try new things.  I thank my parents for allowing me the opportunities I’ve had and letting me be free to try everything I set my mind to.