Maj. Melissa Pietras, a Physician Assistant with the Delaware Army National Guard Medical Readiness Detachment, is observed removing several cysts on the head of Kaua’i resident by Maj. Joanna Nelms, Kapa'a Middle School Tropic Care site Officer in Charge at Kapa’a Middle School in Lihue, Hawai'i, on June 14, 2022. Tropicare 2022 is an Innovative Readiness Training exercise and provides real world training in a joint civil and military environment while strengthening the community relationship by providing medical, dental, and optometry services to the people of Hawai'i.

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Keywords: 149th, ang, arng, irt, navy, tmd