The Organ Trail

The Organ Trail We’ll explain! First, the look ahead. Second, a quick look back. More on that later. During his days as a jockey, Hugh suffered frequent bangs and bruises.

The story of living kidney and liver donations by Mark, living kidney donation by Lynn, friends and acquaintances that are doing the same, and those that support our efferts to save as many lives as possible. JOIN US ON “THE ORGAN TRAIL!”

A Journey To Heighten Awareness
Of Kidney Disease And The Need For Kidney Donors



To answer the question: “What is “The Organ Trail?” it’s necessary to look ahead and then look back. In March, 2023, Mark Scotch, age 67 will once again hit “The Organ Trail,” cycling his way 1,300 miles to promote kidney disease awareness, living donor need, and post-donation functionality, this time with a marathon bike ride from Lubbock, Texas to New Orleans, Louisiana. March 21st, 2022 Mark left San Diego, at age 66, still with one kidney, and continued on through Los Angeles, Phoenix and Albuquerque before stopping in Lubbock, Texas, a distance of 1,360 miles. In September, 2021, Mark, completed his second Organ Trail journey of 1,600 miles from Martha’s Vineyard, Massachusetts to his home in Plover, Wisconsin. In May, 2021, Mark, age, 65 completed his first Organ Trail journey of 1,500 miles from Madison, Wisconsin to Natchitoches, Louisiana. Now, from Mark Scotch himself, a description of his journeys:

“The Organ Trail is all about generating awareness of the need for kidney donors, especially living kidney donors; but it’s also about showing people that even with one kidney, you can still lead a life full of activities, even if those activities are sustained and vigorous.”

Here’s how it all began. We like to joke that:

“A guy goes into a bar and comes out with only one kidney.”

Well, no --- that's not the beginning of a joke, but it begins to explain how The Organ Trail began. Early in 2020, Mark Scotch --- retired from a career of selling diagnostic equipment in the paper mill industry –- met Hugh Smith, a 56-year-old former professional horse jockey –- at Cane River Brewing in Hugh’s hometown of Natchitoches, Louisiana. Although neither had ever seen the other before, both men can be described as “guys who never met a stranger.” They soon began to talk and here’s what Mark learned about Hugh. To combat the aches and pains he took ibuprofen. And more ibuprofen. And lots more ibuprofen. That was decades ago when consumers were not effectively warned about the dangers of taking too much of that drug. Consequently, Hugh’s kidneys were damaged and over the years became progressively worse. Renal failure hit hard in 2019 and for ten hours every night, Hugh was on peritoneal dialysis –-a type of dialysis that uses the peritoneum in a person’s abdomen as a membrane through which fluid and dissolved substances are exchanged with the blood. Hugh had been accepted on the waitlist for a kidney transplant from a deceased donor and became one of nearly 100,000 Americans waiting for a life-saving kidney. By the time we each wake up tomorrow morning, 13 of those patients will have died for lack of a donor. Just the day before, the two men had been strangers. That day, in a bar in Louisiana, Mark Scotch knew what he wanted to do: give one of his kidneys to Hugh Smith. It was one of those extraordinary times in life when a decision is instantly clear. The fact that Hugh had not been known to Mark more than an hour earlier did not matter. It was the thing to do. By mid-August, 2020, Mark and Hugh had both gone through extensive medical testing and screening. Through the National Kidney Registry Voucher Program Mark became a “voucher donor” where he would be matched with a recipient somewhere in the country. Once the kidney donation was complete, Mark could also name Hugh as the person he wanted to benefit, which would give the former jockey higher priority on the National Kidney Registry transplant list. By using the voucher program through the National Kidney Registry, Mark being a match with Hugh wasn’t necessary. It also allows donors and recipients to complete transplantations with the highest degree of compatibility, thereby greatly reducing the chances of rejection. Says Mark: “The voucher system allowed me to do everything at my local hospital in Madison, Wisconsin while Hugh went to his local hospital in Jackson, Mississippi, and was given higher priority on the transplant list.”

In September 2020, Mark Scotch was matched with a compatible individual in New York and successfully donated his kidney. In February 2021, Hugh Smith received his much-needed kidney from Southern California. Both men are healthy and have resumed normal lifestyles. The journey of The Organ Trail has only just begun. We invite you to continue reading this page for frequent updates. We invite you to learn more about the importance of kidney donation and with that knowledge become an advocate by helping inform the general public. We invite you to consider kidney donation yourself. With 3,000 new patients added monthly to the kidney waiting list, and 13 people dying every day because of a shortage of kidneys, Mark Scotch, the cyclist-turned-kidney donor plans to continue raising awareness about living kidney donation through The Organ Trail.

This came in yesterday via an email to The Organ Trail website. So many people to thank. National Kidney RegistryTim and...
09/05/2026

This came in yesterday via an email to The Organ Trail website.

So many people to thank.
National Kidney Registry
Tim and Linda Mullen
Pat O’Brien
Michael Ortiz
Logan Whiteman

I’m so happy that the message got out there using the documentary format.

Hi Mark,

On September 2nd, I celebrated my one year anniversary of my kidney donation. Actually WE celebrated. My wife, Debbie, and my recipient and his wife enjoyed a a great meal of Mexican food in Austin together. It was a donation to a stranger that turned into a great friendship.

My donation journey began with YOU! In April of 2025 we were watching PBS Austin and we saw the Organ Trail video. We were touched in a profound way. The next day I registered with National Kidney Registry and the adventure began.

I'm 68 and a retired dentist. I'm recovered and in great health. My recipient is also doing great. He is 65 and had to retire from his career as a cardiac catheter RN when he got really sick.

Thank you Mark for your tireless effort for living donations. I'm trying to spread the donation gospel however I can and was asked in June to accompany my surgeon, Dr. Nicole Turgeon, who is president of the American Society of Transplantation, along with other transplant folks to DC to lobby for the Living Donor Protection Act. It was exciting and educational for me.

Blessings,

Mark LittleStar

08/19/2026

Looking for an engraving person/company that is associated with organ transplantation.
Please DM me if you know of any person/company or you yourself are.
Thank you.

https://www.facebook.com/share/p/1CHWg7MNGT/?mibextid=wwXIfr
08/01/2026

https://www.facebook.com/share/p/1CHWg7MNGT/?mibextid=wwXIfr

Adam is currently living in Maryland, but he is originally from our area. He is in great need of a kidney. Maybe you could be his donor? Check out the flyer below. Adam is currently listed at both UW Madison and Johns Hopkins in Baltimore.

New article, same story, more exposure. Mark Scotch, Lynn Scotch.National Kidney RegistryHearts for RussThe National Kid...
07/31/2026

New article, same story, more exposure. Mark Scotch, Lynn Scotch.
National Kidney Registry
Hearts for Russ
The National Kidney Donation Organization
SODA: Student Organ Donation Advocates - SODA National
End Kidney Deaths Act
Transplant Journey - Support Group

“What else can you do for another person that has such a significant impact on their life, and the lives of their family members, with so little impact on the donor? We haven’t found anything,” says Lynn.”

More than 90,000 people in the U.S. are on the waitlist for a kidney transplant. How many of their lives could be saved by a stranger?

06/16/2026

Mark Scott shares how one conversation led him to donate a kidney—a...

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