Navy Capt. Robert Jacoby, right, and Navy Petty Officer 1st Class Raymond participate in exercise Azraq Serpent 18 aboard the Royal Fleet Auxiliary ship Cardigan Bay in Bahrain, Jan. 15, 2018. The bilateral exercise between the U.K. Royal Navy and the U.S. Navy is dedicated to developing interoperability across the medical domain in the U.S. 5th Fleet area of operations. Navy photo by Petty Officer 2nd Class Kevin J. Steinberg