150424-N-YM856-294 PUERTO BARRIOS, Guatemala (April 24, 2015) Hospitalman Osvaldo Castro translates for a patient during a physical therapy consultation with Lt. Cmdr. Carrie Dreyer, a physical therapist assigned to Walter Reed National Military Medical Center in Bethesda Md., at a medical treatment site set up in a sports complex in Puerto Barrios during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Navy photo by Mass Communication Specialist 2nd Class Brittney Cannady/Released)