EL AYOTE, Nicaragua -- Dr. Miguel Coello, Joint Task Force-Bravo medical element physician, evaluates a patient and her daughter during the Nicaragua medical civic action program, May 4 in El Ayote, Nicaragua. More than 25 American, Nicaraguan and Honduran medical professionals provided healthcare to 1,100 residents in and around the town. (U.S. Air Force photo/Staff Sgt. Bryan Franks)