110308-N-7491B-004 SAN DIEGO (March 8, 2011) Lt. Art Ambrosio, center, a second year resident in the Otolaryngology Department at Naval Medical Center San Diego, and Ear, Nose and Throat technician Zapata Hough examine the left ear of Christopher Donoho. The department has 70 staff members and treats more than 20,000 patients a year with medical conditions such as speech, audiology, sinus, vocal cord and swallowing problems. (U.S. Navy photo by Mass Communication Specialist Seaman Joseph A. Boomhower/Released)