Oregon Health & Science University                                         PROFILE FOR SPERM DONOR  #9893

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 56), father (60), PGM (92), P uncle (63), P aunt (66), M aunt (55), and 1 sister (29), are all living and in good health for their ages, except for the P uncle who has adult onset diabetes and hypertension due to poor eating habits after college.  One of the first cousin’s children has Down’s Syndrome, which was karyotyped as Trisomy 21; both parents were tested and found not to be carriers.  The first cousin has two other healthy children, and all other cousins’ children are healthy.  Deceased are the PGF at age 84 (heart failure), MGF at 73 (presumed heart failure), and the MGM at 92 (old age).

Donor’s vision: healthy eyes but nearsighted.

Donor’s hearing: perfect.

Donor’s dental history: very few cavities but needed orthodontics as a teen.

 

 

OCCUPATION:  Warehouse manager

 

RELIGION:  Atheist

Social History:                                                                                                            

                                                                                         

1. Do you have any special talents?

I was an honors student in high school and interested in science.  I have been very active in sports, including swimming, wrestling, and weightlifting.  I ran my own business for 8 years before selling it.

 

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

My family has been very active in sports, including rowing, swimming, skating and volleyball.  My grandfather on my father’s side was an engineer with many patents to his name. 

 

3. What are your interests and hobbies?

I spend most of my free time “greening” up my house and cabin...I try to make them as safe, efficient/self sufficient, sustainable, and environmentally friendly as possible.  I enjoy nature, animals, hiking, and sports. 

 

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

PE, Health, Anatomy, Physiology, Psychology, Biology, Biomechanics, Anthropology, and Kinesiology

 

5. High School GPA 3.35           College GPA  3.1               I.Q. 128

 

 

6. How would you describe your personality characteristics?

Logical, rational, honest, loyal, sincere, caring, protective, laid back, funny, loud, open and blunt with friends and acquaintances but reserved with strangers and bosses, athletically competitive.  Stubborn, perfectionist at singular projects but falter and fall back on “close enough” when asked to multitask.

 

Additional Descriptive Characteristics:

 

Handedness:  Right                                                                        Foot/Shoe Size: 11-11.5

 

Hairy Chest:  No                     Hairy:  No                                       Beard Color: sandy with some reddish brown tint

 

Any Distinguishing Features (Dimples, Cleft Chin, Roman Nose, Freckles, etc.):  No

 

Acne problems:  No

 

Reactivity/Sensitivity to sun exposure:

I tan well.

 

Do you smoke?

Family Social History:                                                                                                    

	Education	Occupation	Interests	Eye color	Hair color	Height	Body Type
PGF	BS (Engineering)	engineer, inventor	dams, math, engineering	blue	brown	6’1”	meso
PGM	BS (Science)	teacher	gardening, cooking, hiking, canoeing	blue	white	5’10”	meso
MGF	junior high school	intelligence during war	outdoorsmanship, jokes	blue	white	5’9”	ecto
MGM	MS (Theology), MS (Education)	teacher	children, animals, cooking	blue	white	5’4”	ecto
Father	MD	orthopedic surgeon	wood working, architecture, sports	blue	brown	6’2”	meso
Mother	MS (Marine Biology)	pilot, flight instructor	animals, nature, pets	blue	blond	5’4”	meso
Sister	BS (Sports Science), BS (Chemistry), MS (Nursing)	registered nurse	fitness, hiking, cooking, health/working out, environmentalism	blue	blond	5’5”	meso
Cousin	BS (Engineering)	automaker	sports & engineering	blue	blond	6’2”	meso
Cousin	Phd (Engineering)	professor at university & research	volleyball/sports, engineering	blue	light brown	5’7”	meso
Cousin	Doctorate (Optometry)	optometrist	alternative therapies, fitness, downs syndrome research, sports	blue	light brown	6’0”	ecto
Cousin	MD	currently in residency	speed reading, ice skating	blue	brown	5’6”	meso
Aunt	BS (Engineering)	housewife	cooking, gardening, hiking, canoeing, family	blue	brown	5’9”	meso
Aunt	BS (Liberal Arts)	housewife	jokes, pets, kids	blue	light brown	5’4”	ecto
Uncle	BS (Engineering)	engineer, sales	socializing, sports, psychology, outdoors	blue	brown	6’1”	endo
Cousin	BS (Business) magna cum laude	graduate next term	jokes, socializing	blue	brown	5’4”	meso
Cousin	BS (Social Work) summa cum laude	graduate next term	drama, theater	blue	red blond	5’7”	ecto

                                          

                KID PAGE      

 

1. In general, please describe your childhood.

We stayed in the same place from the time I was 2 till I was 17, then we moved across town to a better neighborhood halfway through my senior year (stayed in the same school so no big deal).  After graduation I moved away for college.  I loved the house I grew up in because it bordered a forest where I spent much of my spare time playing with my dog; I caught animals, built forts, and ate plenty of berries.  As for my sister we fought all the time, we are only 2 years apart and between the competitiveness and stubbornness it was only a matter of time before we were at each others’ throats.  After I moved to college she and I became friends, eventually she and her friends graduated and moved into my townhouse near the university.  I became the mediator between them rather than between us...everyone jokingly called the house “Three’s Company” because I lived with 4 women.

 

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

Most of my family lives on the other side of the country (East Coast) so we visited them a few weeks of the year every 4^th summer growing up.  My grandmothers were always waiting with chores for us to do when we got there, usually mending holes squirrels made in screen doors on back porches.  My grandmother made great traditional rhubarb pie and jam, I hate vegetables but she had magical powers as far as I was concerned when it came to rhubarb.  I have great memories of my crazy/hyper cousin doing whatever to get a laugh or a “wow”...he became the serious optometrist, go figure.  My aunt, who has a soft spot for dirty jokes, always laughing and telling stories.

 

 

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

Food(s)?        pizza, nachos, fruit and sweets...why you ask...who didn’t love those old standbys

Color(s)?        blue, black, green....colors from nature

Toy(s)?           He-man and Hulk....the guys I modeled myself after and wanted to be

Indoor game(s)?        Hide-n-go seek, etc....

Outdoor game(s)?     tag, cone ball, dodge ball, tetherball, wall ball, 4square, king of the hill, kick the bucket           

Book(s)?