Josie is excited about a chance to play in the National Women's Hockey League, but her dreams are challenged when she learns her brother needs a kidney transplant due to severe health issues. As the only compatible donor in the family, Josie faces a difficult decision between supporting her brother and sacrificing her hockey aspirations. The situation highlights the emotional and physical implications of organ donation, particularly regarding safety in contact sports after such a procedure.

1. "Mom, they want me to play for the National Women's Hockey
League!" Josie yelled as she ran into the living room. She had
just finished practice, and the scouts had old 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! She'd 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
brother's 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
Xavier's 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 that 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. "There's 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.
Discuss both the potential side-effects of having an organ

2. transplant and the long-term repercussions of being a living
organ donor.