170424-N-MD713-045 SAN DIEGO (April 24, 2017) Shaun Meertens, left, department manger, Naval Medical Center San Diego (NMCSD) Bio Skills Training Center, explains specific equipment operations to Rear Adm. Paul Pearigen, commander, Navy Medicine West. Pearigen toured NMCSD and visited the Medical and Surgical Sim Center, Bio Skills Training Center and the emergency department before holding an Admiral’s call and answering Sailors’ questions. (U.S. Navy photo by Mass Communication Specialist Seaman Cameron Pinske/Released)