Oregon Health & Science University     PROFILE FOR SPERM DONOR #9875
Andrology/Embryology Lab
1750 SW Harbor Way, Suite 100
Portland, OR 97201-5164
Phone: (503) 418-3750

PHYSICAL CHARACTERISTICS
Height: 5' 6" Weight: 190 Hair Color: Black
Eye Color: Black Hair Type: Curly Complexion: Dark Brown
Race: Black Mother's Ethnic Background: Ethiopian

Father's Ethnic Background: Ethiopian
Blood Type: B +
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: 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 MGM (~ 85), paternal aunt(age 75), maternal aunt (80), 3 maternal half-siblings (22-40), 3 paternal half-siblings (32-60), and 3 children (all sons, 2-5), are all living and in good health to the best of the donor's knowledge. Deceased are: the father (at 80, of natural causes), the mother (at 55, of asthma and tropical disease), the PGF (age of death unknown, during battle in WWll), the PGM (~115, of natural causes), the MGF (age and cause of death not known), and a sibling (at 40, in an accident).

Donor's vision: nearsighted; requires correction.

Donor's hearing: excellent.

Donor's dental history: 2 cavities as an adult.

EDUCATION: Subject of study Location of University Type of University
> 1 year college


Baccalaureate Degree


Master's Degree


Professional Degree X (Medicine) Slovakia

OCCUPATION: Research scientist

COUNTRY OF BIRTH: Ethiopia     YEAR OF BIRTH: 1968     RELIGION: Orthodox Christian

Social History:

1. Do you have any special talents?

Sports: cross-country 5-15 km.

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

Brother: artistic talent.

3. What are your interests and hobbies?

Care-giving for the poor, children, and older people is my special interest. No matter if I know the person or not, if he/she needs my help, I don't hesitate to do so. In my knowledge I did almost 80% my interest from childhood up to now.

My hobbies: going outside, like to go to mountains and riverside, reading books, working on garden (when I was back home, I loved it so much). Cleaning is my daily hobby, cooking, too.

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

Physics, biology, chemistry, and history.

5. High School GPA 3.6     College GPA 3.8     I.Q.

6. How would you describe your personality characteristics?

Quiet, shy, and thoughtful. My leadership personality comes after I introduce myself to the conditions. But I don't want to be superior or inferior. I believe in understanding each other, teamwork, and loving each other.

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

I love kids, and I feel how much parents who want to have babies feel bad how much they miss the smile of baby boys/girls. If this is a help for those parents, why not do it?

Additional Descriptive Characteristics:

Handedness: Right     Foot/Shoe Size: 8 (39)

Hairy Chest: Yes Hairy: No Beard Color: Black

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

Dimples.

Acne problems:

No.

Reactivity/Sensitivity to sun exposure:

No.

Do you smoke?

No

Family Social History:


Education Occupation Interests Eye Color Hair Color Height Body Type
PGF






PGM






MGF






MGM






Father elementary school local businessman
brown brown and black 5'8" normal
Mother elementary school local businesswoman longing to have her own hotel black black 5'6" normal
Brother high school cab driver going outside and studying medicine black black 5'6" normal
Brother high school hotel manager have his own business black black 5'7" normal
Sister elementary school housewife
black black 5'5"
Sister elementary school housewife
black black 5'6"
Your child kindergarten

brown brown

Your child kindergarten

brown brown

Your child kindergarten

brown black


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

(Information pending)

Summary of the Taylor-Johnson Temperament Analysis:

Donor #9875 took the Taylor-Johnson Temperament Analysis and scored in the Excellent range in one category, and in all the other eight categories he scored in the next range which is called Acceptable.The Excellent range scored by Donor #9875 was in the category of Sympathetic versus Indifferent. This measures a person's natural ability to be sensitive, compassionate and caring for others. This measures a sense of concern for people that may be less fortunate and a need for kindness or concern for the elderly and/or children. Being sympathetic also suggests a desire to be helpful to those in need and sought out by others in times of stress or trouble. This Excellent score also represents a person who may have the ability to be in lasting relationships because "sympathy" is a component of good courtship, marriage, and parental relationships.

Donor scored in the Acceptable range for the measurement Light-Hearted versus Depressive. This measures a person's nature to be happy, cheerful, and optimistic. This indicates a person who has a sense of well-being and that life is worthwhile. It indicates good coping skills to navigate through life's ups and downs and the ability to deal well with life concerns.

The second measurement in the Acceptable range was the measurement of Active-Social versus Quiet. Since this donor scored right in the middle, this score indicates a nice balance between enjoying socially engaging activities and also the enjoyment of quiet times or activities. The items which measure social involvement include participation in club, group, or community activities, including making new friends. Quietness is indicative of a restful, quiet life and the enjoyment of pursuing solo activities rather than a need for continuous companionship.

The third Acceptable measurement was in the field of Expressive-Responsive versus Inhibited. This donor scored right below the Excellent range, so he tends to be more Expressive than Inhibited. This measures one's ability to be spontaneous, affectionate and demonstrative. It measures the ability or the degree to which the individual is able to express friendliness, warmth, and/or cordiality. It indicates a person who makes friends and expresses himself in a positive manner and is warm-hearted and kind to others. It also measures expressiveness including the ability to show affection without embarrassment or discomfort, to express tenderness and be willing to share joy or sorrow with another person.In the fourth category, the donor scored right in the middle again in the Acceptable range for the measure of Subjective versus Objective. This indicates a reasonable, fair-minded, logical and objective individual who is able to analyze information carefully before making decisions or opinions. This suggests the ability to be impartial, mature, and accurate in interpreting situations.

The fifth Acceptable range was in the measurement of Dominant versus Submissive. Donor scored right in the middle again suggesting a balance between being reasonable with others and being both a leader and a follower. This indicates good ego-strength, self-assurance, confidence and flexibility in relationships with others.

The sixth Acceptable score was in the measurement of Tolerant versus Hostile. A Tolerant person is accepting of others' opinions and ideas even if they differ from their own. They are patient, humane, and non-critical toward others.

The seventh Acceptable score was in the measurement of Self-Disciplined versus Impulsive. This score was high normal which indicates a very self-disciplined individual who may be very methodical, persevering and detailed in his approach to his life. He most likely is very well-organized, plans well, and able to set goals, make plans in advance, and follow through with his intentions and interests.

The last Acceptable score was the measurement of Composed versus Nervous. Donor scored slightly past the mid-range indicating a possible tending to not always be 100% composed and relaxed. Most likely he is generally calm, free from excessive worry, and not overly anxious about anything in his life, but rather generally easy-going with occasional times that may bring on some lack of composure.Paula Acker, LCSW


KID PAGE:

1. In general, please describe your childhood.

My stays with my family were very short. That was only five years. When I became five years old, I moved with my oldest brother (22) at that time to different places. I had a hard life during my stay with my brother. I get along with my siblings and non-siblings once in 5-6 years. But it was not a problem to get along with them even though there is a minor misunderstanding.

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

As I said, I didn't grow up with my parents. They were divorced since I knew them. Once in 5-6 years I met my family and I was having problems to getting along in the right way with my oldest sister who was a teenager.

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

Food(s)?

Color(s)?

Toy(s)?

Indoor game(s)?

Outdoor game(s)? Playing soccer, running, jumping.

Book(s)? Novels.

Sport(s)? Soccer.

Other activity(s)? Dance, working at the backyard planting trees, vegetables, and crops.

4. What is your earliest memory?

I don't know what my age was, but I remember I lost my way home and I was crying to get help. For sure it was before the age of five. And I remember when my brother separated me from my grandma to his place, and I was crying in the autobus when I though he left me alone.

5. What did you do during the summers?

Loved to go to the beach, jogging, cleaning, helping people who needed help.

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?

Computer, DVD.

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 do because it was my relief place from my sisters-in-law cruelty, and those jobs which she assigned me to do. It was a place for me to listen to a teacher telling stories which I couldn't have at home. Every teacher liked me because I was polite and easy-going.

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

No.

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

I have a lot, but I couldn't write it all and nobody would understand me.