190219-N-ZW825-0119 NOVA ALIANCA, Brazil (Feb. 19, 2019) Cmdr. Edmund Milder examines a young patient during a medical clinic in Nova Alianca, Brazil, Feb. 19, 2019. The visit marks the fourth stop of a monthlong mission by four U.S. Navy physicians and their Brazilian navy counterparts embarked aboard the Brazilian navy Oswaldo Cruz-class hospital ship NAsH Carlos Chagas (U 19) to exchange medical expertise and to bring medical care to isolated communities along the Amazon River. (U.S. Navy photo by Mass Communication Specialist 1st Class Byron C. Linder/Released)