180416-N-HB733-0062 PUERTO BARRIOS, Guatemala (April 16, 2018) Lt. Cmdr. Jason Souza, of Bolton, Massachusetts, asks a Guatemalan girl to give a thumbs up during a post "trigger finger" surgery appointment at the Expeditionary Medical Unit during Continuing Promise 2018 in Puerto Barrios, Guatemala. 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. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)