CARTAGENA, Colombia (Nov. 14, 2022) Lt. Jesus Grandez, assigned to the hospital ship USNS Comfort (T-AH 20), listens to a patient’s breathing before performing nose surgery aboard Comfort in Cartagena, Colombia, Nov. 14, 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. Marine Corps photo by Sgt. Emily Kirk)