CARTAGENA, Colombia (Nov. 17, 2022) Lt. Cmdr. April Gilbrech, a preoperative nurse from Beachgrove, Ind. assigned to hospital ship USNS Comfort (T-AH 20), sterilizes the face of a young Colombian patient before cosmetic surgery aboard Comfort, Nov. 17, 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 2nd Class Ethan J. Soto)