150426-N-XQ474-089 PUERTO BARRIOS, Guatemala (April 26, 2015) Lt. David Myles, a pediatrician assigned to Naval Hospital Camp Lejeune, N.C., performs an exam on a Guatemalan child at a medical assistance site at Casa Social del Maestro Prof. Leopoldo in Puerto Barrios, Guatemala 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 3rd Class Andrew Schneider/Released)