Oregon Health & Science University     PROFILE FOR SPERM DONOR     #9859
Andrology/Embryology Lab
1750 SW Harbor Way, Suite 100
Portland, OR 97201-5164
Phone: (503) 418-3750

PHYSICAL CHARACTERISTICS
Height: 6' 0" Weight: 165 Hair Color: Light Brown (Strawberry Blond as a child)
Eye Color: Light Brown Hair Type: Thick, Slightly Wavy Complexion: Fair
Race: Caucasian Mother's Ethnic Background: German, Welsh

Father's Ethnic Background: Spanish, Czechoslovakian
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: PGM Gout: Muscular dystrophy:
Cataracts: Heart attack: Myasthenia gravis:
Cirrhosis: Heart disease: Paraplegia:
Cleft palate or lip: Hemophilia: Parkinson's:
Club foot: Hermaphroditism: Psoriasis:
Color blindness: Hernia, inguinal: Sickle cell anemia:
Cystic fibrosis: Huntington's chorea: Tay Sachs disease:
Deafness: Hypertension: Thalassemia:
Diabetes: Jaundice: Undescended testicles:
Dislocated hip: Juvenile arthritis:
Eczema: 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 54), mother (53), only sibling, a half-brother (22), MGF (83), MGM (81), 1 P aunt (60), 1 P uncle (62), 1 M aunt (60) and 1 M uncle (57) are all living and in excellent health for their ages. The MGF is a little hard of hearing. The PGF died at 77 of nautral causes related to age, the PGM at 76 of cancer.

Donor's vision: 20/30

Donor's hearing: perfect.

Donor's dental history: no cavities; braces not needed.

EDUCATION: Subject of study Location of University Type of University
> 1 year college A.A. (Applied Science) Oregon community college
> 1 year college Certification (Personal Trainer) Indiana private academy
> 1 year college Certification (Assistant Physical Therapist) Oregon private academy
> 1 year college X (Psychology) Oregon private college

OCCUPATION: Fitness instructor; baccalaureate student majoring in Psychology

STATE OF BIRTH: Oregon     YEAR OF BIRTH: 1971     RELIGION: Christian

Social History:

1. Do you have any special talents?

Very athletic: perfect hand-eye-body coordination, fast.

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

All of the men in my family are above six feet and are strong and quick. Strong runners and strong in most athletic activities.

3. What are your interests and hobbies?

I have a passion for anything active. It keeps my mind and body clear, moving, and changing. Trail running, street running, hatha yoga, indoor rock climbing, mountain bike riding, squash, weight training, extreme hiking, kick boxing, and meditation. I do a combination of all of the above to stay healthy and alive.

I love the arts, including (1) visual arts: I recently took three painting classes and have a portfolio of water colors; (2) theater arts: I participated in plays in high school, took acting classes, and had a 5-year contract with a modeling/acting agency after high school; (3) musical arts: I participated in church choir and high school concert choir, and now love music and listen to cable music channel 471 whenever I’m at home. 

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

Health classes and physical education, art, any discovery class.

5. High School GPA 4.0      College GPA 3.5      I.Q.

6. How would you describe your personality characteristics?

I have been described as confident, humorous, passionate, and a good friend. A leader, but willing to listen to others. Open and honest with a sensitive side, willing to help if needed. A good son.

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

To help a family grow, as well as extra money for my future.

Additional Descriptive Characteristics:

Handedness: Right     Foot/Shoe Size: 9½-10

Hairy Chest: Yes (not a bunch)     Hairy:         Beard Color: Light Brown

Any Distinguishing Features (Dimples, Cleft Chin, Roman Nose, Freckles, etc.): Cleft chin, strong facial features.

Acne problems: None.

Reactivity/Sensitivity to sun exposure: Nope, unless overexposed.

Do you smoke? No

Family Social History:


Education Occupation Interests Eye Color Hair Color Height Body Type
PGF high school real estate building, tinkering in shop, yard work brown brown 6'0" thin, tall
PGM high school housewife church, baking, cooking, bridge club, teaching brown brown 5'3" short, thin
MGF high school business owner (dry cleaner) bonsai, yard work, flowers green brown 5'10" medium build
MGM high school housewife church, kids blue brown 5'4" medium
Father college real estate golf, building in shop cars brown brown 6'1" tall, thin
Mother college gerentology stars, volunteerism, church, outdoors, reading, music blue brown 5'5" thin
Half-Brother going to college
sports, camping, cars, music, raising daughter brown light brown 6'2" tall, thin
P Male Cousin college business computers, science-fiction brown brown 6'1" tall
P Female Cousin college special education kids, music, sewing, dancing brown brown 5'6" thin
M Female Cousin college housewife working out, running blue blond 5'3½" small, thin
M Male Cousin college contractor motorcycles, cars brown brown 6'1" tall, thin
P Aunt college housewife crafts, painting, ceramics, art green brown 5'2" short
M Aunt college nurse yard work, Harleys green brown 5'6" tallish
P Uncle college pharmacist building (restoring) cars brown brown 6'2" tall
M Uncle college corrections houses, Harleys green brown 6'2" tall

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

Donor #9859 is a thirty-two-year-old, single, Caucasian man that learned about sperm donation from an advertisement in a newspaper. Donor works full-time as a fitness instructor/personal trainer. He is a current college student seeking a four-year degree in Psychology. Donor has worked as an assistant physical therapist, a certified nurse assistant, and a certified medical assistant. He states his motivation to be a donor is financial (to pay for school), but throughout the process of participation in the donor program he thought more about what he was actually doing to help other families and feels comfortable passing on his gene pool anonymously.

Donor's mother works for non-profit organizations in the field of aging. His father retired at age 52 and was in real estate. Donor has no history of mental illness in the family of origin and no counseling history. There is no history of alcoholism in his family. Donor is a non-drinker, non-smoker, and does not use recreational drugs. He has no legal or financial difficulties. His hobbies include athletic pursuits, and he is very active. He does hatha yoga, trail running, rollerblading, squash, racquetball, and works out daily. He is very fit and trim. He makes it a priority to stay fit in his life.

He is very friendly and warm with a nice smile, healthy complexion, fine features, and a positive attitude about life. He meets all the ASRM psychological criteria for being a donor, and I recommend him.

Paula Acker, LCSW

Summary of the Taylor-Johnson Temperament Analysis:

The Taylor-Johnson Temperament Analysis was administered to Donor #9859, and he scored in the Excellent range in eight out of nine categories. Donor is a thirty-one-year-old male, and this analysis was based on his age group. The ninth score was in the Acceptable range, which overall represents a very balanced personality type.

The first Excellent score was in the personality characteristic of Composed versus Nervous. This donor was rated in the middle of Excellent which indicates a tranquil and possibly relaxed style, or someone that tends to be calm in all kinds of situations. They are not high-strung and would like not be upset in tense situations such as high traffic or time pressure. People that are nervous tend to more likely be smokers, overeaters, nail-biters or use drugs or alcohol for relaxation.

The second Excellent score is Light-Hearted versus Depressive. This is very compatible with the first score of Composed. They go together because these kinds of traits represent a person that is optimistic, cheerful and/or happy in their disposition. They have a sense of well-being in contrast to looking at life with apathy or pessimism.

The third area of measurement also in the Excellent range was Active-Social versus Quiet. This donor was about off the chart for Active-Social meaning he has many outside interests and enjoys pursuing them. He would likely be socially involved, energetic, and a "go-getter" in life. This measurement looks at participation in community, club, or group events or activities, making new friends, and a desire to be with friends and people. There is a need for companionship and a pleasure in it.

The fourth area of measurement, scoring again in the Excellent range, was Expressive-Responsive versus Inhibited. This goes hand in hand with the previous score because this is a measurement of a person's ability to be spontaneous, affectionate, and/or demonstrative. This is the kind of person that shows warmth and expresses friendliness to others. They act with affection towards their families, express tenderness, and are also able to share both joys and sorrows.

The fifth Excellent measurement was in Sympathetic versus Indifferent. This is defined by traits that express compassion, understanding, and empathy. They are likely to be aware of others' needs for support or encouragement, and they enjoy children, the elderly, and/or animals.

The sixth Excellent score of donor #9859 was in Objective versus Subjective. People that are objective are not self-absorbed but are reasonable, fair-minded, logical and tend to be impartial. They are not self-conscious or overly sensitive.

The seventh Excellent score was in the measurement of Dominant versus Submissive. Dominant people in this profile are people that are confident (not bossy), assertive, and can be naturally competitive. This is an example of good personal "ego-strength" and is the type of person that would be a leader and influential in lots of situations.

The last Excellent score was in Self-Disciplined versus Impulsive. This is a measurement of organizational abilities, perseverance, and a person's ability to be methodical and deliberate. They can set long-term goals and net those goals and have excellent self-control.

Paula Acker, LCSW

KID PAGE 

1. In general, please describe your childhood.

My parents and I lived in the same house for fifteen years. We did not move until after high school. Very stable environment. A great neighborhood with other kids and families, so we had lots of block parties and barbeques. Safe neighborhood for bike riding and outdoor games. There were some older kids who would entertain us younger kids with various games and activities.

I took violin and piano lessons as a child, and to this day I love music.

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

I saw all my cousins on a regular basis. We were pretty much laughing and playing together from the moment we saw each other. We had a blast. Very excited for holidays or birthdays. My cousin and I were two days apart in age, so our birthday celebrations were often together.

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

Food(s)?

Color(s)? All, except for brown and orange.

Toy(s)? Cars, building materials.

Indoor game(s)? Building forts, card games.

Outdoor game(s)? Tag, hide and seek. Because you could run.

Book(s)? Any with adventure or good ending. Danny, Champion of the World.

Sport(s)? Soccer, track, any activity that was energetic.

Other activity(s)? Camping, bike riding, exploring, musical stuff.

4. What is your earliest memory?

My mom always tucked me into bed, which I can remember as far back as possible.

5. What did you do during the summers?

Went to various camps with friends, usually an outdoor camping type. Went to the beach with my cousins in my grandparents motor home. Stayed in California with my other cousin. Went on family vacations as well.

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?

Cable television. VCRs. We seemed to be the first in our neighborhood to have one, and now of course we have DVDs and other such items.

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 was very excited to start first grade. My teacher was excellent in keeping students busy and learning. I did enjoy school; however, I was disappointed that I did not learn everything the first day.

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

Take care of my pets. Clean up what messes I made.

9. Any other recollections of importance that come to mind?  No.