PEN PALS U.S. Air Force Maj. Gary Ruesch completes medical forms as his patient draws a picture at the Escuela Max Seidel medical site during Continuing Promise 2011 in Tumaco, Colombia, June 9, 2011. Ruesch is a nurse practitioner. Continuing Promise is a five-month humanitarian assistance mission to the Caribbean, Central and South America. SHARE: Download: Full Size (0.06 MB) Credit: VIRIN: 428080-Y-EAQ90-833.jpg Photo Gallery