Brig. Gen. John C. Fobian, former 433rd commander, presented Mrs. Sarah Nelson, a spouse certificate of appreciation alongside her husband Col. Michael Nelson, 433rd Medical Squadron commander, May 5, 2018 at Joint Base San Antonio, Texas. Nelson began his Air Force career at Kelly Air Force Base, Texas as an enlisted Airman as a bioenvironmental engineering specialist. (U.S. Air Force photo by Tech. Sgt. Carlos J. Trevino)