Postcard from Abroad: Brazil

By Rodney Mutter, D.C.

In March 2001, I participated in Palmer’s Clinic Abroad Program (CAP) trip to Manaus, Amazonas, Brazil. I’ll never forget the moment when I arrived at the airport in Manaus. The air was so heavy and humid, yet Brazil Postcard so healthy and with such a distinct smell. I immediately felt at home.

The next 12 days were inspiring. The experience touched me on so many levels. The people of Brazil have a warmth that I haven’t experienced anywhere else in the world.

The most amazing part of the clinical experience was the ability to offer my recent knowledge and technique skills to others without expecting anything in return. Clinic Abroad offers a very unique experience in that everything has been organized, all of the responsibilities have been handled, and you can truly just give of everything that you have inside of you. It’s a sensation that I haven’t been able to duplicate day to day in my practice because there are always administrative issues in practice.

I returned to Brazil in July 2001 for my internship, and I never left. After graduation, I opened up my practice in Rio Grande do Sul in southern Brazil and have had the opportunity to go back to the Amazon as extension faculty on six different occasions. Going back as faculty was and is even more amazing, as I’m able to communicate now with the patients and help the students through the same insecurities that I recently had experienced.

In January 2005, I married my wife, Carin, here in Brazil. In December of that same year, we were blessed with our first child, Guilherme. I truly owe much gratitude to the CAP of Palmer College. I have such an amazing life and have grown so much.

I encourage everyone to participate in this program—students, faculty and extension faculty—as it is truly life-changing.

Wishing you all health and happiness,
Rodney Mutter, D.C.  


Postcard from Abroad: Madagascar

I was a participant in the Clinic Abroad Program trip to Madagascar in February 2007. Let me start by saying that this trip was by far the best experience of my life. Words really cannot do the experience Madagascar Postcard justice, but I will try.

My first impressions upon arrival in Antsiranana, Madagascar, were of the beauty and extreme poverty. I have never seen so many vibrant shades of green! We were there during their summer, so the countryside was absolutely breath-taking (the beaches were absolutely beautiful as well). As we were taking in the beautiful sights, we were also faced with just how poor the city is as well. To call their homes “shacks” would make them sound luxurious. Some of their homes only had a “roof” held up by what looked like sticks. They looked as if any bad weather would knock them down instantly.

Speaking of bad weather, our Clinic Abroad trip took place during cyclone season, so there was a lot of rain and flooded roads. Many may think that rain would ruin the experience on a trip like this. For me, it made the experience even more touching and humbling. I was constantly thinking of the natives’ meager living situations and how the severe rain and winds were affecting them. I thought of the mud and flooded roads that they had to walk through on a daily basis. I thought of the flooding of their homes, because I knew their roofs were not going to keep it away. I imagined the mud they must have in their homes. I couldn’t help but think of the hundreds of thousands of dollars Americans spend on their homes and how they are always complaining about them. I thought of how many American families own more than one car as I watched women walking with babies strapped to their backs and with a tubs of food on their heads with no destination in near sight. I was constantly reminded of how much we Americans take for granted and how very lucky we are to have food, water and shelter.

The Malagasy* people were some of the most kind and appreciative people I think I will ever meet. Each one of us (students and doctors) was greeted with a smile by everyone we were in contact with. The clinical experience was also incredible. I felt myself becoming a better adjuster even by the end of the first adjusting day. I forced myself to use techniques that I was less comfortable with and gained more and more confidence with them as the week went on. The lessons I learned from the faculty were also priceless. Dr. [David] Hannah asked us to “diagnose beyond just the subluxation,” and that has helped me take better patient notes and become a better intern today.

I had the opportunity to adjust people from a few months old to more than 90 years old, which was definitely something new for me. I got over my fear of adjusting the elderly and of adjusting people with potential lumbar disc herniations.

There were definitely some hard moments to get through in the clinic. It was extremely difficult to tell patients that there really wasn’t anything that we could do for them. It was even more difficult to tell them that there were no resources in their country to help them further. Some of our encounters with patients were truly heartbreaking, but we did as much for them as we could.

There were also happy moments in the clinic, though. It was an incredible feeling to have someone say that a headache went away or that radiating leg pain was gone after an adjustment. Overall, after each patient encounter, I felt like I had made some difference in their lives and that what I had done for them was appreciated. To say that each day was an emotional rollercoaster is an under statement.

What I have taken home from this experience is to always put things in perspective. No matter how bad things seem to be for you, there is always someone worse off than you out there somewhere. I also appreciate every blessing in my life much more than I think I did prior to the trip—and consider myself privileged to have my health, food, shelter, family, friends and education. I know this experience will continue to influence my thinking years down the road.

I am definitely much more confident in my adjusting and clinical skills now, too. I know it’s not just my own observation, because my patients and staff doctors have commented on it as well. I also came back with 20 new friends without whom the experience would not have been the same. This experience was priceless. We had exceptional staff doctors with us and an incredible group of students, and I will always remember this experience. I hope to return to Madagascar one day as a field doctor and continue to serve the people.

*When the French granted Madagascar’s independence in 1958, “the locals renamed their nation the Malagasy Republic.” (http://www.air-mad.com/


Postcard from Abroad: Manaus

Below is an unedited letter from a Brazilian chiropractor thanking Palmer College for bringing the Clinic Abroad Program to his part of the world.

Palmer Students’ soon Chiropractors,

Welcome to Manaus! I hope everyone is enjoying, being treated very well, and having a great impression of here. I’m Dr. Shuster. I graduated in Rio Grande do Sul 2006, and I have been living in Manaus for 9 months. I was like you guys before and I’m sure that in any part around the world is the same thought. You are studying the last period and I know everyone is making many expectations about your future. You long for, you dream with, you still have some doubts, but at the same time have an amazing courage. The real world is approaching and it is not the same like when we are at the college, because everything we do, we are protected by Professors there. Even though that each one of you would like to adjust by yourself. But all this process is needed. I confess when I was a Chiropractor Student I was so happy in every event like that, because we meet knew people, different places, different cultures, parties and etc.

Here in Manaus you will have an amazing experience, unique. Notice everything that is going on around you, specially your patients. Observe that even not speaking your language they are charismatic, captivating. Many of them are humble and will use the best cloth and will use the best smell. All that for you to show how important you are for them. I bet You will be in their prayer for a long time, because they really care the way you treat them. An adjustment means a lot for them. People who spent years with pain, keep their faces until the end of the treatment, because later you will remember the relief they will feel when the adjustment it’s done. Hug them, feel this human spirit, I’m sure you will never forget this experience.

In our clinic, before the amazing work Dr. James have done for 6 years, now working Dr. Silva, me and Dr. João Paulo we already have treated more than 17.000 people. Also we can not forget Dr.Garcia who is in this work too. You are in a country that fights for the regularity of our Profession. In Brazil there are only 300
Chiropractors graduated, two Universities working since 2000, with a direct participation of Dr. Hannah in our Professors’ Group. The course is regulated, but not the profession. So that’s why there are many who use Chiropractic without graduation. But we expect that soon this profession, we love so much will be strong in our country.

Do not forget that you are in the city who most respect and cares about Chiropractic in all Brazil, thanks to Dr. James work for all these years now ours. So, live each minute, take all your doubts and anything you need we are here to help. Thanks again and God bless you!