Farther Along…

Over the last six months, Caryl and I have traveled about 60,000 miles across four continents, telling the story of our Karen friends. We’ve sat in homes and churches, company boardrooms and recording studios, at a soccer tournament and even a PhD level Maternal-Child health conference. And everywhere, as we shared pictures and videos of our teams, I felt the ache of missing friends who I knew were bone-tired and standing in harm’s way. Friends who were giving to the end of themselves amid torrential rains, sliding mud, shifting battle lines, and the menace of bombers.

I felt the sting of guilt for not being with them, for enjoying hot showers and rich food. More than once I wished I could beam those comforts straight into the jungle, Star Trek style. Yet alongside the ache was joy... joy in reconnecting with old friends and meeting new ones, in discovering people who share the same passion for justice and hope for those on the margins. Many of you gave so generously of your time, your attention, your money.

The miles have worn on me more than they used to; my aging brain and body don't shift time zones as quickly as before. And everywhere we went, I also felt the weight of many of your stories—pain, loneliness, grief, loss. Perhaps some of you understand the plight of our Karen friends even better than us.

At times, I felt like a stick drifting down the Salween River: caught in whirlpools, battered against rocks, thrilled by sudden rapids, and filled with wonder at the beauty along the banks—jungle foliage dressed in infinite shades of green, skinny children laughing as they splashed, colorful Kingfishers flashing as they dove from the trees. All those miles left me both humbled and inspired by the courage, generosity, and love I’ve seen in you who carry Earth Mission with us.

We belong to a Kingdom that doesn’t thrive on power or control, but on freedom, service, and sacrificial love. I caught glimpses of that Kingdom in people everywhere, on every continent. Sometimes, I am not sure how well I walk those ways myself. Some days, I feel like a toddler bobbling and stumbling along. But I do have hope. My hope is that God will take all of it—the good, the bad, the courageous, the weary, the long miles and even my mistakes—and weave it into His story, until one day, farther along, He brings me home. That is my faith.

“It is absolutely clear that God has called you to a free life. Just make sure that you don’t use this freedom as an excuse to do whatever you want to do and destroy your freedom. Rather, use your freedom to serve one another in love; that’s how freedom grows. For everything we know about God’s Word is summed up in a single sentence: Love others as you love yourself. That’s an act of true freedom.”
—Galatians 5:13-15 (The Message)

Farther Along by Josh Garrels


OUR VISION

We want to see all people in remote Karen areas
have
access to high-quality healthcare.

Dr. Mitch Ryan

Dr. Mitch has spent most of his professional medical career working internationally alongside his wife Caryl, a licensed nurse. Together they have launched initiatives focused on providing excellent and innovative healthcare in regions of the world where quality medical care is limited. From 1995 - 2005, they founded and operated the Gilgit Eye Hospital in Northern Pakistan. From 2005 - 2025, they supported a medic training program for the Karen people in Myanmar and in 2015 established the Earth Mission Physician Associate training program in Myanmar in order to increase the number of competent healthcare providers in the area.

Dr. Mitch enjoys working with a team of professionals dedicated to serving people and teaching others how to do the same. He has a bachelor’s degree in Biology from Wheaton College and received his MD from Wayne State School of Medicine. He completed his residency in Family Medicine In Bristol TN. In 2023, he was awarded an honorary Doctor of Science degree from Ulster University. Dr. Mitch maintains active U.S. medical licenses in Arkansas and Oklahoma.

Ultimately, Dr. Mitch is driven by his faith in Jesus Christ, in the spirit of Isaiah 58:6: “Is not this the fast that I choose: to loose the bonds of wickedness, to undo the straps of the yoke, to let the oppressed go free, and to break every yoke?” To be a Christian is to be the hands and feet of Jesus. To love is to sacrifice.

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