The Seasoned Sonographer

Guest: Mmaduabuchi “Paul” Ayogu
Organization: Ultrasound Care Foundation
Location: Nigeria

Topics discussed:

• The mission of the Ultrasound Care Foundation
• Maternal healthcare and ultrasound access in Nigeria
• Bringing ultrasound into underserved and remote communities
• Using portable/tabletop ultrasound technology during outreach
• Referral challenges after an abnormal ultrasound finding
• Common obstetric findings encountered during outreach
• Access to prenatal ultrasound
• Development of ultrasound education and training programs
• Barriers to ultrasound education in Nigeria
• Hands-on training and equipment availability
• OB ultrasound education priorities
• 2027 Maternal Fetal Ultrasound Summit in Nigeria
• Sono Techniques Academy educational support
• How ultrasound findings influence delivery planning
• Opportunities for international collaboration and support

Featured Organization: Ultrasound Care Foundation

Educational Partner: Sono Techniques Academy®

© 2026 The Seasoned Sonographer / Sono Techniques Academy®, LLC. All rights reserved.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode:

• Transitioning from SIU ultrasound student to SIH sonographer
• The realities of a first ultrasound job
• Challenges facing new graduates
• Working in a busy hospital ultrasound department
• ARDMS registry preparation and study resources
• Favorite and least favorite ultrasound exams
• Continuing education and CME
• Mentorship and leadership
• Sono Techniques Academy as a clinical and educational resource
• New-hire onboarding
• Employee competency and education tracking
• Advice for future sonographers

Featured Organizations

Southern Illinois Healthcare (SIH)
SIU Carbondale Diagnostic Medical Sonography Program
Sono Techniques Academy®

Episode Sponsors

Sona
Southern Illinois Healthcare
Roshal Health
Sono Techniques Academy®

© 2026 The Seasoned Sonographer Podcast. All rights reserved.

Hosted by Lynn Flamm, BS, RDMS.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Topics Covered

• Megan Meade's career journey
• Creation of Viable Solutions
• Fetal heart educational resources
• Fetal heart model and anatomy teaching tools
• Role of the general OB sonographer
• Congenital heart disease detection
• AIUM cardiac screening guidelines
• ACOG recommendations
• Four-chamber view
• LVOT and RVOT
• Three-vessel and three-vessel trachea views
• Situs and cardiac axis
• Common fetal heart abnormalities
• Improving confidence in fetal cardiac imaging
• Fetal echocardiography education

© 2026 Sono Techniques Academy, LLC. All Rights Reserved.

The Seasoned Sonographer Podcast is hosted by Lynn Flamm, BS, RDMS.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Why First Trimester Ultrasound Matters

The first trimester ultrasound is often the first opportunity to visually confirm a pregnancy and assess its development. According to ACOG and AIUM, the goals of a first trimester ultrasound include:

✅ Confirming an intrauterine pregnancy

✅ Confirming viability

✅ Establishing accurate gestational age

✅ Identifying multiple gestations

✅ Evaluating maternal pelvic anatomy

✅ Detecting early complications

✅ Providing reassurance to expectant parents

The first trimester examination frequently influences management decisions throughout the remainder of the pregnancy.

© 2026 Sono Techniques Academy, LLC. All Rights Reserved.
The Seasoned Sonographer Podcast™ is a production of Sono Techniques Academy, LLC.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In This Episode We Discuss:

• Krystalea's ultrasound career journey

• How she became interested in maternal-fetal medicine and fetal echocardiography

• Her experience in a pilot Advanced Practice Sonographer program

• Education and training requirements for APS roles

• Potential responsibilities of an Advanced Practice Sonographer

• Physician collaboration and team-based care

• Quality improvement and patient safety initiatives

• Research, education, and leadership opportunities

• Rural healthcare access and OB deserts

• Telemedicine and remote physician collaboration

• Future career pathways for sonographers

• The future of the ultrasound profession

© 2026 The Seasoned Sonographer Podcast. All rights reserved.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

🔍 In this episode, we discuss:

• Flexible, sonographer-centered scheduling models
• The on-demand sonography care model
• Supporting travel sonographers across diverse environments
• Roshal University and professional development pathways
• Leadership training and career advancement
• Building programs that impact an entire organization
• Retention strategies and workforce culture
• Empowering sonographers to grow and lead
• A culture of leadership that actively listens to sonographers and incorporates their feedback into operations

© 2026 The Seasoned Sonographer Podcast – Lynn Flamm, BS, RDMS
All rights reserved.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode, Lynn Flamm, RDMS, interviews Rachel Wernsman, CNM about how ultrasound findings influence delivery timing and planning.

Topics include fetal growth restriction, Doppler studies, amniotic fluid abnormalities, placental conditions, aneuploidy concerns, and Maternal Fetal Medicine referrals.

The episode also discusses how co-morbidities such as diabetes, hypertension, IVF, and multiple gestation impact ultrasound surveillance and clinical decision making.

Special emphasis is placed on the role of the sonographer and the importance of patient counseling when delivery plans change.

© 2026 Sono Techniques Academy, LLC. All rights reserved.

The Seasoned Sonographer Podcast and all associated materials are the intellectual property of Sono Techniques Academy, LLC.

This content is for educational purposes only and does not replace clinical judgment.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode we discuss:

• Definition of FGR (EFW <10% or AC <10%)
• Early asymmetric FGR and the significance of abdominal circumference
• Causes of FGR
• Fetal circulation and placental resistance
• Proper umbilical artery Doppler technique
• S/D ratio, PI, RI
• Absent and reversed end-diastolic flow
• ACOG-aligned monitoring and delivery principles
• When sonographers should add UA Dopplers
• Why UA Dopplers are clinically valid after 24 weeks gestation

Referenced guidance:
American College of Obstetricians and Gynecologists Practice Bulletin on Fetal Growth Restriction

© 2026 Lynn Flamm, RDMS
Founder & CEO, Sono Techniques Academy, LLC
Host, The Seasoned Sonographer Podcast

For educational purposes only. Clinical management should follow current ACOG guidance and physician direction.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Pain during gynecologic procedures has long been minimized — but it doesn’t have to be that way.

In this episode of The Seasoned Sonographer, Lynn Flamm, RDMS, talks with OB/Gyn physician Dr. Kenzie Glassburn about modern approaches to pain management during in-office gynecologic procedures. Together, they explore how ultrasound guidance, cervical blocks, local anesthesia, and trauma-informed care can dramatically improve the patient experience.

We discuss:

Common gynecologic procedures performed under ultrasound

Which procedures benefit most from pain management

Why women’s pain has historically been dismissed

How ultrasound plays a key role in safer, more comfortable care

What needs to change — culturally and clinically

Because being a woman should never mean “just tolerate it.”

Copyright © 2026 Sono Techniques Academy, LLC. All rights reserved.
No portion of this podcast episode may be reproduced, distributed, or transmitted in any form without prior written permission from Sono Techniques Academy, LLC.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

What you’ll hear in this episode:

• What OB/Gyn ultrasound looked like when Dr. Bishop began practicing
• The early workflow: documentation then vs now
• How clinical decisions were made before today’s detailed imaging
• How the physician–sonographer relationship evolved
• The moment ultrasound became protocol-based
• How AIUM standards increased specificity and consistency:

• required documentation elements
• standardized biometric measurements
• placenta, fluid, cervix expectations
• anatomy requirements becoming more detailed and structured
• heart expectations expanding beyond 4-chamber

• Doppler use then vs now
• Leadership perspective: quality standards as a Medical Director
• Real-life lessons from 30+ years in women’s healthcare
• Where he is today, practicing in a modern group practice

© 2026 Sono Techniques Academy / The Seasoned Sonographer Podcast. All rights reserved.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

This episode covers:

When and why a fetal echocardiogram is indicated

What makes a fetal echo different from the standard anatomy scan heart views

The additional ultrasound views included in a comprehensive fetal echo

The role of Doppler and M-mode for assessing cardiac function and rhythm

Common technical challenges and optimization tips

How to counsel families when cardiac abnormalities are detected

Collaboration between sonographers, MFMs, and pediatric cardiologists

🎧 A must-listen episode for anyone passionate about prenatal imaging, fetal heart anatomy, and compassionate patient care.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Guest: Dr. Jocelyn Peters, OB/Gyn, Houston, TX

Host: Lynn Flamm, RDMS, founder of Sono Techniques Academy and host of The Seasoned Sonographer

Topics discussed:

Cultural competence in OB/Gyn practice

The value of bilingual care for Hispanic and Spanish-speaking patients

Regional trends in women’s health and ultrasound access

How ultrasound supports trust and understanding in prenatal care

Empowering women through communication and education

Listen on: Apple Podcasts, Spotify, and YouTube
Follow: @TheSeasonedSonographer | @SonoTechniquesAcademy

© 2025 The Seasoned Sonographer, a division of Sono Techniques Academy.
All rights reserved. Unauthorized reproduction or distribution of this content is prohibited.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode, we dive deep into the clinical importance of cervical length measurement by transvaginal ultrasound—a key screening tool for identifying risk of preterm birth. We cover:

The criteria for when and why to measure cervical length

A step-by-step technical breakdown for accurate transvaginal imaging

The significance of funneling, with a focus on V-shaped vs. U-shaped funneling and what each implies about cervical integrity

The use of Valsalva maneuver and fundal pressure to assess dynamic cervical changes

High-risk factors including history of LEEP, twins, and previous preterm delivery

Why precision in sonographer technique matters and how small differences in measurement can shape major clinical decisions

We also introduce Dr. Torrez, a board-certified OB/Gyn, who joins us to discuss a recent patient case from our own office. In this powerful clinical vignette, we explore how a short cervix—measured during a routine scan—led to timely intervention that ultimately changed the trajectory of care.

Whether you’re a sonographer, provider, or educator, this episode offers practical insight, clinical pearls, and a reminder that millimeters truly do matter.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this special Medical Ultrasound Awareness Month episode of The Seasoned Sonographer™, host Lynn Flamm, RDMS, reflects on 33 years in ultrasound and the incredible influence OB/GYN sonographers have on women’s healthcare.

This episode explores:

💓 The importance of OB/GYN sonographers in patient care and diagnosis.

⚙️ The challenges and emotional resilience of the profession.

📖 A personal story that captures the heart of ultrasound.

🎤 An interview with a fellow Seasoned Sonographer, who shares her journey and what this awareness month means to her.

🌟 A “Did You Know” spotlight on ultrasound’s evolution and safety.

🤝 The reward of mentorship and lifelong learning in our field.

Whether you’re a student, a practicing sonographer, or a provider who values imaging excellence, this episode will remind you why our work matters so deeply.

© 2025 Sono Techniques Academy. All rights reserved.
Produced by Sono Techniques Academy
Learn more at www.sonotechniquesacademy.com

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Topics covered in this episode:

Definition of Abnormal Uterine Bleeding (AUB) and why it matters

FIGO’s PALM-COEIN classification system (structural vs non-structural causes)

Sonographic evaluation of the endometrium: thickness, echotexture, and Doppler findings

Key ultrasound patterns of polyps, fibroids, adenomyosis, and hyperplasia

Postmenopausal bleeding and when endometrial thickness is concerning

How providers use ultrasound reports to guide treatment and biopsy decisions

Communication tips: explaining findings to patients without creating fear

Collaboration between sonographers and providers for best patient outcomes

Guest Interview Highlights:

Logan Colvis, PA shares real-world cases, diagnostic challenges, and the role ultrasound plays in shaping management decisions for women with AUB.

Takeaway Pearls:

Always measure and document endometrial thickness in the sagittal plane

Endometrial appearance must be interpreted in the context of age, cycle, and symptoms

Structural causes (polyps, fibroids, adenomyosis) have distinct ultrasound patterns

Clear sonographer reporting = better, faster, and safer patient care

© 2025 Sono Techniques Academy – The Seasoned Sonographer Podcast by Lynn Flamm, RDMS. All Rights Reserved

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode of The Seasoned Sonographer, Lynn Flamm, RDMS, sits down with OB/GYN physician Dr. Torrez to unpack the Biophysical Profile (BPP) — one of the most important tools in obstetric ultrasound for assessing fetal well-being. Together, they review the five components of the BPP, how scores are interpreted, and what they reveal about oxygenation and neurologic function in the fetus.

The conversation highlights the critical role of amniotic fluid, including how oligohydramnios and polyhydramnios can change management even when other findings appear normal. Dr. Torrez also explains when and why Umbilical Artery Dopplers are added to the BPP to evaluate placental insufficiency and guide high-risk care.

Whether you’re a student, a practicing sonographer, or a provider, this episode will give you practical insight into how BPPs influence decision-making, when to escalate care, and what sonographers can do to optimize reporting and communication for the best patient outcomes.

© 2025 The Seasoned Sonographer podcast by Lynn Flamm. All rights reserved.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

Topics Covered in This Episode:

When and why a third trimester ultrasound is ordered

Biometry: HC, BPD, AC, FL & how they’re used to estimate fetal weight (EFW)

Interpreting growth percentiles: SGA, FGR, macrosomia

Assessing fetal lie and presentation: cephalic vs. breech

AFI vs. SDP/MVP: how to evaluate amniotic fluid and what’s normal

Real-world scanning challenges: maternal habitus, fetal position, limited views

What to document when scans are technically limited

When to add a Biophysical Profile and what it tells us about fetal well-being

Special Guest: Jessica Reichert, CNM
Jessica shares how third trimester ultrasounds inform clinical judgment and patient care, especially in high-risk or borderline cases. She also discusses collaboration with sonographers and shares a powerful case that underscores why these scans matter.

Key Takeaway:
Ultrasound is a real-time, sonographer-dependent exam — and what we document (or can’t document) in the third trimester can significantly shape the final stages of pregnancy care.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this short trailer episode, get to know the heart and mission behind The Seasoned Sonographer. We’re building a space where sonographers at every level can learn, grow, and thrive through:

🌀 Case-based discussions
🌀 Image optimization tips
🌀 Real-world scan scenarios
🌀 Troubleshooting strategies
🌀 Mentorship and community support

👩‍⚕️ Your Host:
With 32+ years in OB/GYN ultrasound and a passion for training the next generation, your host brings clarity, confidence, and community to each episode.

🎧 What’s Coming Up:

How to consistently nail the fetal heart views

Tips when anatomy scans don’t go as planned

Optimizing your image when baby isn’t cooperating

📲 Subscribe now so you never miss an episode — and get ready to level up your scanning skills.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode, we’re focusing on one of the most detail-driven parts of the anatomy survey: the fetal heart. Whether you’re just learning or teaching others, getting consistent, high-quality cardiac views can be one of the biggest challenges in OB ultrasound.

Join your host — a sonographer with over 32 years of OB/GYN experience — as she walks through practical strategies to boost your confidence and improve your cardiac imaging technique every time you scan.

💡 In This Episode, You'll Learn:

Why the fetal heart is more than just the 4-chamber view

How to approach outflow tract and 3-vessel views with clarity

Tips for adjusting when fetal position isn’t ideal

How to troubleshoot maternal habitus

🎯 Who This Episode Is For:
Students, new grads, instructors, providers and any sonographer looking to refine their fetal heart imaging skills.

📌 Pro Tip from the Episode:
“Start with the 4-chamber, but don’t stop there — tracing the flow helps you understand the structure.”

📲 Subscribe & Share:
If this episode helped you, consider sharing it with your fellow sonographers or ultrasound students. Follow the show for more in-depth episodes that strengthen your scan, one structure at a time.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.

In this episode of The Seasoned Sonographer, I’m joined by a Certified Nurse Midwife for an in-depth conversation about the second-trimester anatomy scan and its significant role in midwifery care. Together, we discuss how this essential ultrasound—typically performed around 18 to 22 weeks—guides clinical decisions, influences patient counseling, and helps midwives provide informed, personalized care.

Our guest shares how anatomy scan findings can shift the course of pregnancy management, from identifying potential complications to coordinating referrals and planning birth options. We also touch on the collaborative relationship between midwives and sonographers, and how detailed, high-quality imaging supports the midwifery model of care.

Whether you're a practicing sonographer, a midwife, or a student in training, this episode offers a powerful look at how this pivotal scan shapes practice, supports patients, and highlights the impact of ultrasound in everyday clinical care.

I’d love to hear your thoughts, questions, or even topics you’d like me to cover—connect with me @SonoTechniquesAcademy on Facebook facebook.com/profile.php?id=61574057043515 and Instagram instagram.com/sonotechniquesacademy or send me an email at lynn@sonotechniquesacademy.com.

Disclaimer: The information provided in this podcast and any accompanying materials is for educational and informational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. While every effort is made to ensure accuracy, the content is provided “as is” and without warranties of any kind.

Always seek the guidance of your physician, qualified healthcare provider, or credentialed ultrasound professional with any questions you may have regarding a medical condition, scan interpretation, or clinical decision-making.

The views and opinions expressed are those of the host and guests and do not necessarily reflect those of any organizations or employers. The host assumes no responsibility or liability for any errors or omissions in the content or for any outcomes related to its use.

Listeners and participants are solely responsible for how they use the information shared in this podcast or training program.