190220-N-ZW825-0488 SAO CARLOS, Brazil (Feb. 20, 2019) Brazilian navy Lt. Priscila Ribeiro and Cmdr. Edmund Milder examine a young patient during a medical clinic in Sao Carlos, Brazil, Feb. 19, 2019. The visit marks the fifth stop of a month-long mission by four U.S. Navy physicians and their Brazilian navy counterparts embarked aboard 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)