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Lt. Col. Valerie Sams, 59th Medical Wing trauma surgeon, performs an ultrasound to monitor a patient during a 20-hour direct flight from Bagram Airfield, Afghanistan to San Antonio, Texas, Aug. 18, 2019. This unique aerial mission providing around-the-clock patient care was refueled twice in-air, supported by multiple pilots, aircrew and joint service teams of medics working in shifts to maintain the highest level of care possible. (U.S. Air Force photo by Airman 1st Class Ryan Mancuso)
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