180416-A-YI894-0096 PUERTO BARRIOS, Guatemala (April 16, 2018) Lt. Cmdr. Steven Glerum, and Lt. Cmdr. Amy Zaycek talk with Axel Medina Roca about his scheduled surgery to remove a facial mass at Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Army photo by Spc. Brandon Best/Released)