AZUA, Dominican Republic (Dec. 3 2022) Cmdr. Peter Cervenka, left, an oral and maxillofacial surgeon from Concord, California, and Hospital Corpsman 3rd Class Michelle Blouch, a surgical technologist from Lebanon, Pennsylvania, both assigned to the hospital ship USNS Comfort (T-AH 20), perform the removal of arch bars that were placed after a mandible fracture on a patient at a medical site in Azua, Dominican Republic during Continuing Promise 2022, Dec. 3, 2022. The patient had the arch bars in for two years when they are typically removed after six weeks. Continuing Promise 2022 is 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. Army photo by Cpl. Genesis Gomez)