EL AYOTE, Nicaragua -- Col. Marie Domiguez, medical element commander, cleans a wound site before performing an exploratory procedure, May 5 in El Ayote, Nicaragua. The medical civic action program team came together to treat more than 1,100 patients with a variety of illnesses, including stomach pains, chest colds, skin rashes and other illnesses, May 3 through 6. (U.S. Air Force photo/Staff Sgt. Bryan Franks)