| Height: 6' 2" | Weight: 155 | Hair Color: Black |
| Eye Color: Green | Hair Type: Black | Complexion: Fair |
| Race: Caucasian | Mother's
Ethnic Background: Irish
Father's Ethnic Background: Irish |
|
| Blood Type: A+ | ||
The family relationship is indicated.
| Alcoholism: | Edema: | Mental disorders: |
| Allergy: | Emphysema: | Mental retardation: |
| Anemia: | Epilepsy: | Miscarriages: |
| Asthma: | Glaucoma: | Stillbirths: |
| Blindness: | Goiter: | Migraine: |
| Cancer: | 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: |
DONOR'S VISION: close to 20/20 (no correction necessary)
DONOR'S HEARING: Excellent
DONOR'S DENTAL HISTORY: Braces from age 10-12, retainer
| EDUCATION: | Subject of study | Type of University |
| > 1 year college | ||
| Baccalaureate Degree | B.S., Computer Science | State University |
| Master's Degree | M.S., Biology | Private University (highly ranked) |
| Professional Degree | In progress |
Social History:
1. Do you have any special talents?
I've always excelled in school, and math and analytic subjects were of particular interest to me. I've also done well from a young age with distance running and other endurance sports.
2. Are there any special talents that seem to run in your family? (athletics, music, artistic, etc.)Most of my family is fairly musically inclined. I've played piano, guitar, and trombone. My cousin plays in a bluegrass band, my older brother composes music, and my mother plays piano. Also, most of the members of my family (especially my immediate family) excel in math and math-related subjects.
3. What are your interests and hobbies?Sports: skydiving (team competition), rock climbing/bouldering, swimming/running/biking (training for ½ Ironman), racquetball, skiing (advanced). Other activities: computer programming and repair, recreational reading, auto repair and restoration, backpacking and hiking, physics and mathematics, world travel, dancing.
4. What did you enjoy studying in high school and college?Mathematics was always a favorite in high school and college, but dissecting during biology class was an experience that has stuck with me.
5. High School GPA: 3.87 College GPA: 3.97I.Q.: I joined Mensa to apply for their scholarship. They require members to be above 95 percentile.
6. How would you describe your personality characteristics?
Most of the time, I am quiet, thoughtful, caring, considerate, efficient. I consider myself a leader by example; rather than tell I prefer to show. Although I am reserved in what I say, around new people I am forward, outgoing, and self-confident. I have a dry and mildly sarcastic sense of humor with an appreciation for both witty and dark humor.
7. Why do you want to be a sperm donor?Many of my activities and inspirations require more money than I make as a student. While I applied to be a donor primarily for the financial aspect, I appreciate that I am helping others and contributing to the happiness of caring parents.
Additional Descriptive Characteristics:
Handedness: Right Foot/Shoe Size: 10 ½ -11Family Social History:
| Education | Occupation | Interests | Eye Color | Hair Color | Height | Body Type | |
| PGF | Marine | Sports, athletics | Brown | + 6' 2"
(?) |
Fit | ||
| PGM | College | Nurse | Brown | 5' 10" (?) | Medium | ||
| MGF | College | Business Exec. | |||||
| MGM | College | Nurse | Brown | 5' 8" | Slim | ||
| Father | Doctoral+ | Surgeon | Running, travel | Green | Brown | 6' 1" | Medium |
| Mother | Post-college | Nurse | Sewing, baking, travel, music | Brown | Dark Brown | 5' 10" | Medium |
| Sister | Some college | Student | Art, music | Green | Brown-black | 5' 10" | Slim |
| Brother | Masters | Music teacher | Concert music, reading, composing | Brown | Brown | 6' 1" | Medium-slim |
| Uncle | Law school | Patent lawyer | Brown | Brown | 6' 2" | Heavy | |
| Uncle | Doctoral | Farmer | Brown | Brown | 6' 2"
(?) |
Medium |
Comments Following an Interview with the OHSU Fertility Consultants Clinic Counselor:
Donor #9888 is a Caucasian man who became interested in donating to OHSU for financial reasons. Although this is his main motivation, he hopes to be a father himself one day and really likes children a lot. In addition to his own biological siblings, he has siblings adopted into his family by his parents. He has a B.S. in Computer Science and a Masters degree in Biology. He is pursuing a professional degree in a science-related field..
Donor #9888 grew up in the West and the Southwest. His father is a physician and his mother has degrees in both physical therapy and nursing. One biological sibling, a brother, is a music teacher for elementary students. Another biological sibling, a sister, works in medical billing and is also a college student. A third biological sibling, a sister, passed away when she was in her teens. She was profoundly retarded due to a complication of birth. When she was young the donor's parents decided to adopt a set of children from one family. They were young children, less than 6 years of age. Then they decided to do one more adoption and adopted their last child as an infant. His mother has been a full time mother but was accepted into medical school before she had children. She decided to have a family instead.
There is no history of mental illness in the family of origin. This donor has never sought counseling as an adult and has no history of depression. He is a non-smoker, and does not drink alcohol or use recreational drugs. He is an avid athlete: a mountain biker, skier, racquetball player, and a runner. He is not a musician like his brother but did play musical instruments growing up. He describes his personality as very laid back and gentle. He further states that he is thoughtful, caring, considerate, and puts lots of stock in his friendships. He appears to be a very warm and kind young man who is smart and sensitive. He has a sweet disposition and is very pleasant to meet. He is incredibly bright and that is obvious in our conversation. He is tall, slender, and very nice looking. He has a runner's body. He is health conscious with his diet and always has been. His parents raised him to be very aware of good nutrition.
Donor #9888 is open to being an information release donor but is still considering this issue. He is not completely comfortable with this right now. He has carefully considered all aspects of being a donor for OHSU and is ready to proceed. He meets all of the ASRM psychological criteria for being a donor.
Paula Acker LCSW
Donor #9888 took the Taylor Johnson Temperament Analysis and scored in the "Excellent" range in five of the nine measurements of personality traits. He scored in the "Acceptable" range in three areas, and finally in just one area he scored in the range of "Improvement Desirable."
The first "Excellent" score was in the measurement of "Objective" verses "Subjective." This is a measurement that scores a person's ability to think clearly without excessive sensitivity so they can judge situations fairly and without bias. I believe it is a measurement of maturity as well. An objective person is often someone that is impartial and rational in most of life situations, and can be fair minded and analytical without having internal fears or doubts. They are not self-conscious and do not tend to get upset and confused by complex circumstances but can take a careful view and make decisions that affect others without worry or quilt.
The second "Excellent" score was in the measurement of "Active-Social" verses "Quiet." This donor scored in the high range but not so high that he can never rest or be settled. He is likely to have many friends and enjoy feelings of energy and vitality. He is also most likely a person that enjoys new pursuits and challenges and a wide variety of interests and activities.
This score indicates an enjoyment of companionship and the pleasure of group participation. He is more than likely a person that can maintain personal relationships over a long period of time and can build lasting friendships with others.
The third "Excellent" score was in the measurement of "Sympathetic" verses "Indifferent." This indicates a person that is compassionate and caring, sensitive, and has a concern for the well being of others around them. They may have a desire to work in the field of helping others and care about animals and the elderly. They give encouragement to others and support others pursuits as good friends.
The fourth "Excellent" score was in the measurement of "Dominant" verses "Submissive." In this measurement scale dominant is defined as someone that is a leader and is confident. They are likely to be independent and take responsibility for activities and events that others participate in. They are people that show initiative in life and don't need others to encourage them to get things done. They may be competitive and good at public speaking and influencing change in business and school.
The fifth "Excellent" score was in the measurement of "Composed" verses "Nervous." This is a measurement of a person's ability to be calm, rational, and to recover quickly from stressful circumstances. They are not likely to have nervous mannerisms and are likely to be the kind of person that others are drawn to for support in difficult times due to their calm composure. They are not likely to be people that are ever worriers.
The first score in "Acceptable" range was the measurement of "Expressive-Responsive" verses "Inhibited." This goes well with this donor's other scores as an expressive-responsive individual is one that is spontaneous, affectionate, and shows warmth to others. They are friendly and likely outgoing and warm-hearted.
The second score in the "Acceptable" range was the measurement of "Tolerant" verses "Hostile." This would indicate a person that is open minded, careful in being judgmental of others, and is considerate of others feelings. They are likely free of racial or religious prejudice, and are not likely to criticize others.
The third score in the "Acceptable" range was in the measurement of "Self-Disciplined" verses "Impulsive." This donor scored right on the line between "acceptable" and "improvement desirable." This likely indicates a person that sometimes is organized and can accomplish tasks very well and other times may possibly be disorganized. The are likely to be tidy most of the time but occasionally get overwhelmed and over committed and behind on their daily living tasks.
The last score was the measurement of "Light-hearted" verses "Depressive." The donor scored in the "Improvement desirable" range. This may indicate that he was preoccupied with other issues when he took the test, had other life stressors present, or has a tendency to feel apathy, or be discouraged from time to time. He did not score in the "Improvement needed" which is the lowest score. However at the time of this test he was not feeling light-hearted or cheerful according to the test scores.
Paula Acker LCSW
KID PAGE
1. In general, please describe your childhood.My family moved over 8 times before I started college. Most of my memories of these places are focused on my family rather than of the places. My siblings and I were very tight growing up as a result of moving so much.
Many of my experiences from growing up were in more rural areas with lots of woods nearby. I spent much of my time as a child playing in the outdoors and in the woods, either with Boy Scouts of just with friends.
2. Were there any family members other than your parents and siblings with whom you regularly had contact?Every year for as long as I can remember, my immediate family heads back to the family farm for the Fourth of July. My uncle and his family still live on and run the farm, which belonged to my grandfather. While the adults talked and relaxed, we would play hide and seek in the barns, catch frogs in the pond, or pick blackcaps, or build a dam on the creek.
3. As a child, what was/were your favorite:Food(s)? Peanut butter and jelly sandwiches
Color(s)? Green and blue
Toy(s)? Legos… We had a huge collection and would build elaborate structures
Indoor game(s)? Legos
Outdoor game(s)? Riding bikes
Book(s)? I was a big fan of Berenstain Bears
Sport(s)? Soccer
4. What is your earliest memory?
I have a very distinct memory of being in kindergarten and first grasping the concept of addition. We had small, elongated blocks of different sizes and colors (i.e. red was 1 cm wide and 3cm long, blue was 1cm wide and 4cm long, yellow was 1cm wide and 5cm long). I remember the point when I realized that combining certain blocks of defined length would equal the size of larger blocks, and various combinations could be made but still equal the same size.
5. What did you do during the summers?
Mostly run around, ride my bike, play in the woods. My parents made me take swimming lessons and wouldn't less us mope around indoors. Saturday mornings I usually watched cartoons, though.
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?
I was in grade school when I first learned about the Internet.
During one of my classes, the teacher let
me go to the library to check out this new technology. They had a
text-only access to the Internet and
a book (similar to a phone book) with listings of websites and their
content.
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 enjoyed school for the most part, although I was often bored. I usually participated in gifted-and-talented or accelerated learning programs, which were fun.
One high school teacher that significantly influenced me was my Spanish teacher, because of the way she cared about the well-being of every one of the students.We rotated household chores. I usually had something like emptying the dishwasher, feeding the dogs, taking the trash out, etc. My brother and I alternated mowing the grass in the summer, and even started a lawn-mowing business at one point.
9. Any other recollections of importance that come to mind?I always had a lot of energy as a kid - I remember I used to wake up with the sunrise and hop right out of bed.