U.S. Navy Lt. Cmdr. Martin Casarez, a physical therapist assigned to the hospital ship USNS Comfort (T-AH 20), examines a Grenadian man's legs at a temporary medical treatment site in St. George's, Grenada, Sept. 18, 2019. Comfort is working with health and government partners in Central America, South America, and the Caribbean to provide care on the ship and at land-based medical sites, helping to relieve pressure on national medical systems, including those strained by an increase in cross-border migrants. (U.S. Navy photo by Mass Communication Specialist 2nd Class Bobby J Siens)