190607-N-ZQ216-2218 PORTLAND, Ore. (June 7, 2019) Vice Adm. John D. Alexander, commander of U.S. 3rd Fleet, speaks with Tonja C. Dirkx, M.D, clinical associate professor of medicine and Portland VA Health Center Renal Clinic director. The visit was in conjunction with the Portland Rose Festival, a time-honored celebration of the sea services and provides an opportunity for the citizens of Oregon to meet Sailors, Marines and Coast Guardsmen, as well as witness firsthand the latest capabilities of today’s maritime services. (U.S. Navy photo by Mass Communication Specialist 3rd Class Timothy E Heaps/Released)