Oregon Health & Science University         PROFILE FOR SPERM DONOR     #9855
Andrology/Embryology Lab
1750 SW Harbor Way, Suite 100
Portland, OR 97201-5164
Phone: (503) 418-3750

PHYSICAL CHARACTERISTICS
Height: 5' 10" Weight: 170 Hair Color: Brown
Eye Color: Brown Hair Type: Curly, beginning to grey; slightly receding hairline Complexion: Fair; Very Clear
Race: Caucasian Mother's Ethnic Background: English, Irish, Italian

Father's Ethnic Background: German, English

Blood Type: A +
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.

Alcoholism: Edema: Mental disorders:
Allergy: Emphysema: Mental retardation:
Anemia: Epilepsy: Miscarriages:
Asthma: Glaucoma: Stillbirths:
Blindness: Goiter: Migraine:
Cancer: PGF (prostate); PGM (lymphoma) Gout: Muscular dystrophy:
Cataracts: Heart attack: PGF, MGF Myasthenia gravis:
Cirrhosis: Heart disease: Paraplegia:
Cleft palate or lip: Hemophilia: Parkinson's:
Club foot: Hermaphroditism: Psoriasis:
Color blindness: Hernia, inguinal: Self, F Sickle cell anemia:
Cystic fibrosis: Huntington's chorea: Tay Sachs disease:
Deafness: Hypertension: Thalassemia:
Diabetes: F Jaundice: Undescended testicles:
Dislocated hip: Juvenile arthritis:
Eczema: self
Lymphedema:

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 father (age 62), mother (61), MGM (92), one M aunt (64), one M uncle (59), and only sibling, a brother (42) are all living and in good health, excepting the following health problems: father has diabetes (diagnosed at age 57) and high blood pressure (diagnosed at 54); MGM has macular degeneration (her sister is 94). The PGF died at 75 of a heart attack (he had prostate cancer at 65); the PGM at 72 of lymphoma (she also had lupus); the MGF at 51 of a heart attack. There are no other deceased relatives.

Donor's vision: mildly nearsighted (glasses since age 24).

Donor's hearing: normal.

Donor's dental history: some fillings.

EDUCATION: Subject of study Location of University Type of University
Baccalaureate Degree B.S. (Electronic Management)

B.S. (Electrical Engineering)

Illinois large state university
Master's Degree M.S. (Computer Science) Utah large state university
OCCUPATION: Software Developer

STATE OF BIRTH: Illinois     YEAR OF BIRTH: 1964     RELIGION: None

Social History:

1. Do you have any special talents?

I excel at problem solving (i.e., engineering), and athletic ability (I was most valuable runner in high school).

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

Athletic ability: I was most valuable runner in high school. I also played many other sports in school such as track, cross-country and basketball. My brother was most valuable player in high school football. Both of my grandfathers and my father were athletic and played baseball and football in school.

Intelligence: I have two Bachelors degrees and one Masters degree. My brother has a doctorate degree. On my mothers side both my grandparents have college degrees, and my aunt, uncle and mother have Masters degrees. My father also has a college degree.

3. What are your interests and hobbies?

I enjoy running regularly. I have enjoyed running since I first started in fifth grade cross-country and track. I have been running ever since. I participate in 5K running events. I have been a fan of camping, hiking, swimming and anything outdoors ever since I was a child. I camp and hike often and try to swim laps once a week.

I enjoy travel. After college I spent the summer backpacking across Europe. I stayed in youth hostels and had a Eurail train pass. It was one of the best times of my life. I saw so many interesting places and things. I have traveled quite a bit since then, too. I usually take one big trip a year and numerous smaller weekend trips.

I have also participated in and consider myself a novice in skydiving, rock climbing, and spelunking.

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

Art and science.

5. High School GPA 3.0      College GPA 3.0      I.Q.

6. How would you describe your personality characteristics?

Funny, thoughtful, leader, inquisitive, kind, can-do attitude, self-assured, free-thinker, open-minded.

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

I think it would be a good opportunity to help other people. I think I have many good qualities and traits and would like to see them passed on to future generations.

Additional Descriptive Characteristics:

Handedness: Right     Foot/Shoe Size: 11

Hairy Chest:  No   Hairy: No    Beard Color: Black

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

Naturally curly hair. Once my hair gets longer than a couple of inches, it starts to curl and forms large curls.

Acne problems:

Small amount when I was in my teens.

Reactivity/Sensitivity to sun exposure:

I tan easily.

Do you smoke?

No

Family Social History:


Education Occupation Interests Eye Color Hair Color Height Body Type
PGF high school truck driver, rancher sports blue brown 6'1" athletic
PGM high school bookkeeper music brown brown 5'7" slender
MGF Bachelors in Education manager of employment office farming, sports brown black 5'11" muscular, athletic
MGM Bachelors in Education teacher painting, gardening, reading brown black 5'3" slender
Father Associates in Business engineer fishing brown brown 5'10" medium
Mother Masters in Education teacher dancing brown black 5'0" medium
Brother Doctorate chiropractor fishing, music brown black 5'7" muscular, athletic
Cousin some college Air Force, computer clerk reading, computers blue brown 6'0" medium
Cousin Bachelors Air Force antique car restoration blue black 5'10" medium
Cousin some college realtor genealogy blue red 5'11" slender
Cousin high school printer fishing brown brown 5'8" slim, athletic
Aunt Masters in Education teacher antiques brown black 5'7" heavy
Uncle Masters in Education teacher, Air Force running blue black 5'10" medium, athletic

Comments Following an Interview with the OHSU Fertility Consultants Clinic Counselor:

Donor #9855 is a thirty-nine-year-old man that is interested in becoming a donor to help an infertile couple and to pass on his genetic contribution. He is single and learned about sperm donation through an advertisement in a local paper. He has a Masters degree in Computer Sciences and two Bachelors degrees in Electrical Engineering and Electronic Management. Donor would like to have children but is not in a relationship right now and has not the opportunity to have children. He is a very warm and personable man who is fit and attractive. He has a warm smile and very nice, straight teeth. His skin tone is bronze right now because he tans easily.

Donor grew up in the Midwest, and his parents are still married. He has one brother that is four years older than he is and who is married and has three children. His brother is a chiropractor. His parents both worked, and his father was also an engineer. His mother was a high school teacher. They are both semi-retired now but do help his brother in his medical practice. They are a close family, and the donor talks to his parents via the phone at least once a week and visits home several times a year. Donor has resided in Oregon for the last several years. He moved here because he loves the outdoor environment and the lifestyle.

Donor is a non-smoker and light social drinker, enjoying one to two drinks on the weekends. He does not use recreational drugs and has no personal or family history of drug or alcohol abuse. He enjoys outdoor camping, hiking, mountain biking, back country skiing, swimming, and most outdoor activities. He has no family history of mental illness and no personal counseling history.

Donor meets the ASRM psychological criteria for participation as a sperm donor for OHSU, and I recommend him. I was very impressed by his kind personality and his bright smile and sharp wit.

Paula Acker, LCSW

Summary of the Taylor-Johnson Temperament Analysis:

Donor #9855 took the Taylor-Johnson Temperament Analysis and scored in the Excellent range in six of nine areas of personality measurement. In the other three areas he scored in the Acceptable range.

The first area was Tolerant versus Hostile. A person scoring in this range is often thought to be accepting, tolerant, humane and/or very patient. Often they tend to be people we would call considerate, thoughtful, and free from racial or religious prejudice.

The second personality trait that scored in the Excellent range was Objective versus Subjective. This is a person that tends to be even-minded and is careful to be impartial and consider all perspectives of a situation. They can evaluate both sides of an issue without jumping to a conclusion.

The third Excellent characteristic was Sympathetic versus Indifferent. People that score in this range are often more aware of others feelings and needs and display kindness and encouragement to them. They have special sensitivity to children, elderly, and those in need.

The fourth area the donor scored in the Excellent range was in Active-Social versus Quiet. This represents a person that is energetic and possibly finds pleasure in social activities and events with other people. This also means they may participate in a wide variety of social engagements, such as clubs, group activities and/or have a wide circle of friends.

The fifth Excellent range of personality characteristics measured was in Light-Hearted versus Depressive. This measures a person's ability to be easy-going, balanced, and generally happy. This doesn't mean the person does not experience mood variations, but rather their natural tendency is towards being even-tempered.

The last measurement in the Excellent range was Composed versus Nervous. This measures a tendency toward calmness and freedom from high anxiety and excessive worry. They may have a tranquil disposition.

Paula Acker, LCSW

KID PAGE

1. In general, please describe your childhood.

We lived in the same house since I was just over three years old, and my parents still live there. I grew up in a small town near Chicago. It was far enough away from Chicago that you could enjoy a small-town existence yet close enough that you could have access to the varied cultural events that are offered by a larger city, such as museums and plays. My father worked in Chicago but did not want my brother and I to grow up there.

I am glad I grew up where I did. I went to school with many of the same people from grade school through high school.

I got along fine with my brother. He is four years older than I am, and we had different friends; however, because I lived in a small town, many of the younger brothers and sisters of his friends were also my friends.

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

In the summer and during holidays I would get to spend time with my cousins, aunt, and grandparents.

Every summer I would spend two weeks at my grandmother's house in a small country town. I always looked forward to it. My cousin, brother and I would play and always go fishing down at the pond. Instead of fishing with a regular rod and reel, my grandmother would take us down to the local general hardware store and have us pick out cane poles. She would give us regular cotton string to tie to the poles. Somehow we managed to get hooks on the string and would spend hours fishing with the poles and a box of worms at the local pond. This is a great memory for me.

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

Food(s)? Home-made egg and flower noodles, mashed potatoes and gravy with chicken.
My mom did not cook like that so I only had it at my grandmother's, and they were the best country cooks around.
They would always make it for me when I was there.

Color(s)? Green. It makes me feel happy.

Toy(s)? I loved playing Rockem-Sockem-Robots with my brother. Because it was an interactive, action-packed game.

Indoor game(s)? I enjoyed the board games Yahtzee and Monopoly. My family would have game night and those were the games we played.
I also enjoyed playing hide and seek with my dad. Because it was something that I could do by myself with my dad.

Outdoor game(s)? I enjoyed hide and seek, tag, flashlight tag, king of the hill, and kill the guy with the ball.
Because they were active, and I was good at them, and you could play them with others.

Book(s)? The Hardy Boys. Because my grandmother gave me the books.

Sport(s)? Running, biking, and swimming. Because they made me feel good when I did something active.

Other activity(s)? Climbing trees, camping, hiking, and canoeing.
They were all outdoor activities, and you could get close to nature doing them.

4. What is your earliest memory?

I remember coming home from my grandmother's house (we just lived across the street at the time) where I just had my third birthday party. As a gift I received a white ceramic piggy bank which my mother was carrying home for me. I was complaining that I wanted to carry it, and she said, "No, you will drop it." After I asked several more times, she finely gave it to me, and it immediately slipped out of my hands and broke in the middle of the street. I was extremely sad as a result.

5. What did you do during the summers?

Most of my time during the summers was spent with my friends riding bikes, taking swimming lessons, and playing in the woods near my house. My friends and I would often try to catch frogs, crayfish, tadpoles and lightning bugs in the woods. In the woods we would make tree forts and explore. For years every summer we had a new tree fort project. Many times we would eat sack lunches, which our mothers had prepared for us, out in the woods in our tree fort. We would often pretend while in the woods that we were stranded on an island and had to make our own shelter and had to find things to eat. This often led us to pick a large amount of mulberries which I would take home and my mother would make into pies.

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?

Yes, I remember many electronic devices such as calculators, touch-tone phones (as opposed to rotary dial), and home computers and video games becoming readily available. My father had one of the first electronic calculators commercially available. It was a big event to see him use it. It was very expensive at the time, and my brother and I were forbidden to touch it without him present. He showed us how the mechanical adding machine compared to the electronic calculator. We also had Pong, the first home video game to come out. It was fun to play at the time and amazing to see this little box hooked up to the TV make the now primitive Pong game out of a TV. I had a lot of fun playing the Pong game with my dad. We would have competitions to see who would win.

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)?

Yes, I did enjoy school. There was one science teacher in grade school, and I particularly enjoyed going to his class. He would always have us perform interactive hands-on science experiments. It was very fun going to his class. I remember when we mixed baking soda and vinegar in a beaker and putting a cork in the beaker. The mixture would then fizz and shoot the cork out (a very fun experiment as a kid.)

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

I was expected to clean my room, mow the lawn and weed the garden.

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