181106-N-AW702-001 JACKSONVILLE, Fla. (Nov. 6, 2018) Lt. Gian Han Pham, a physician at Naval Hospital Jacksonville’s Family Medicine Clinic, discusses Rosaelva Granlee’s health during a routine visit. Pham, from Cypress, Texas, says he's the first in his family to become a doctor. (U.S. Navy photo by Jacob Sippel, Naval Hospital Jacksonville/Released)