U.S. Public Health Service Lt. Cmdr. Ken Norris consults with a patient during medical operations at the Port Kaituma Skills Training Centre during Continuing Promise 2008. The amphibious assault ship USS Kearsarge is supporting the Caribbean Phase of the humanitarian and civic assistance mission Continuing Promise, an equal partnership mission between the United States, Canada, the Netherlands, Brazil, Nicaragua, Columbia, Dominican Republic, Trinidad and Tobago and Guyana.