CARTAGENA, Colombia (Nov. 15, 2022) Stephanie Hernandez and Laura Ramirez Cardona, medical residents of dermatology in Colombia, and Lt. Cmdr. Shayna Rivard, from Poland Springs, Maine, a dermatologist assigned to the hospital ship USNS Comfort (T-AH 20), remove a growth from a patient during Continuing Promise 2022 at a medical site in the Sports Coliseum of Combat and Gymnastics in Cartagena, Colombia, Nov. 15, 2022. Comfort is deployed to U.S. 4th Fleet in support of Continuing Promise 2022, a humanitarian assistance and goodwill mission conducting direct medical care, expeditionary veterinary care, and subject matter expert exchanges with five partner nations in the Caribbean, Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Benjamin Lewis)