Lt. Pandora Liptrot checks the vitals of Amalia Urbina Tilleth, a native of the Miskito tribe of Nicaragua, shortly after a surgical procedure aboard the amphibious assault ship USS Kearsarge to remove an abnormal growth over her cornea. Kearsarge is the primary platform for the Caribbean phase of Continuing Promise, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.