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Mom, they want me to play for the National Womens Hockey League! Josie yelled as she ran into
the living room. She had just finished practice, and the scouts had told her afterward how
impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal
for Canada might actually come true! Shed had to make some sacrifices, like living at home after
high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of
her parents, her smile disappeared. Honey, we just got back from the doctor. It turns out that your
brothers recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist
is recommending that Xavier have a kidney transplant, her mom explained with a pained look. We
know that he has a better chance if he has a related donor, but he could always go on
hemodialysis and wait for a cadaver donor Josie saw her dreams of a hockey career fade away.
After Xaviers third bout with nephrotic syndrome, the whole family had been tested for
compatibility in case he needed a transplant. Josie was the only one with a positive cross-match.
The doctors had explained to her then what it would mean if she decided to donate one of her
kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices
of the doctors came back to her. No contact sports after a nephrectomy, she heard them say,
Theres too big a risk of rupturing the remaining kidney. Josie was faced with the toughest decision
of all: she loved Xavier, but hockey was her life.
1. Discuss the long-term repercussions of being a living organ donor.
2. Imagine that you are Josies mom or dad and one of your children has the opportunity to save
the life of another one of your children. Would you encourage him or her to donate an organ?
3. If Josie decides to donate her kidney and then later chooses to continue playing hockey, what
advice should her parents give her?
4. What options might be open to Josies brother other than having his sister donate a kidney?

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  • 1. Mom, they want me to play for the National Womens Hockey League! Josie yelled as she ran into the living room. She had just finished practice, and the scouts had told her afterward how impressed they were with her moves. Finally, her lifelong dream of winning an Olympic gold medal for Canada might actually come true! Shed had to make some sacrifices, like living at home after high school, but it looked like that would all pay off. As soon as she saw the looks on the faces of her parents, her smile disappeared. Honey, we just got back from the doctor. It turns out that your brothers recurrent bouts of pyelonephritis have led to irreversible renal damage. The nephrologist is recommending that Xavier have a kidney transplant, her mom explained with a pained look. We know that he has a better chance if he has a related donor, but he could always go on hemodialysis and wait for a cadaver donor Josie saw her dreams of a hockey career fade away. After Xaviers third bout with nephrotic syndrome, the whole family had been tested for compatibility in case he needed a transplant. Josie was the only one with a positive cross-match. The doctors had explained to her then what it would mean if she decided to donate one of her kidneys, but Josie had brushed it off, assuming that her brother would get better. Now the voices of the doctors came back to her. No contact sports after a nephrectomy, she heard them say, Theres too big a risk of rupturing the remaining kidney. Josie was faced with the toughest decision of all: she loved Xavier, but hockey was her life. 1. Discuss the long-term repercussions of being a living organ donor. 2. Imagine that you are Josies mom or dad and one of your children has the opportunity to save the life of another one of your children. Would you encourage him or her to donate an organ? 3. If Josie decides to donate her kidney and then later chooses to continue playing hockey, what advice should her parents give her? 4. What options might be open to Josies brother other than having his sister donate a kidney?