Lt. Pam Liptrot, a medical augmentee embarked aboard the amphibious assault ship USS Kearsarge, tends to one of a set of twin brother from the Dominican Republic after eye surgery aboard the ship. Kearsarge is the supporting the Caribbean phase of Continuing Promise 2008, an equal-partnership humanitarian/civic assistance mission involving the United States, Canada, the Netherlands, Brazil, France, Nicaragua, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.