Keywords: 110802-N-QD416-194 (6006096288).jpg U S Navy Cmdr Marjorie Alexander the department head of patient discharge aboard hospital ship USNS Comfort T-AH 20 plays patty-cake with a child at the Barranca Municipal Gym medical site in Barranca Costa Rica during Continuing Promise CP 2011 CP is a regularly scheduled mission to countries in Central and South America and the Caribbean where the U S Navy and its partnering nations work with host nations and a variety of governmental and nongovernmental agencies to train in civil-military operations DoD photo by Mass Communication Specialist 1st Class Brian A Goyak U S Navy/Released https //www flickr com/photos/39955793 N07/6006096288/ 110802-N-QD416-194 2011-08-02 14 30 https //www flickr com/people/39955793 N07 U S Department of Defense Current Photos PD-USGov U S Department of Defense Current Photos https //flickr com/photos/39955793 N07/6006096288 2016-09-03 13 53 57 United States Government Work Continuing Promise 2011 Costa Rica United States Department of Defense |