An MH-60 Jayhawk helicopter crew from Air Station Elizabeth City, North Carolina, hoists a 79-year-old man from the deck of the cruise ship Anthem of the Seas approximately 402 miles southeast of Cape Hatteras, North Carolina, Dec. 19th, 2018. Fifth District command center watchstanders received a request for medevac when the man was found to be suffering kidney failure-like symptoms. U.S. Coast Guard photograph courtesy Air Station Elizabeth City