221031-N-DF135-1023 PUERTO BARRIOS, Guatemala (Oct. 31, 2022) – Chief Hospital Corpsman Shawn Burnette, from Pittsburgh, Pennsylvania, shows systems used to monitor people on anesthesia, used to perform endoscopies, to members from the Japan-Guatemala Friendship Hospital aboard to the hospital ship USNS Comfort (T-AH 20), Oct. 31, 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 Seaman Deven Fernandez)