https://linktr.ee/chinweokekeke

Celebrity sonographer, London (2026)

20/03/2026

Geh geh geh… geh geh 😩

First patient of the day a young, beautiful lady, just 21 years old.
It was a breast scan request.
As usual, I started with my routine questions: “What brought you in for this scan?”
She said, “I have a lump in my breast.” I could hear the worry in her voice.

Okay, not uncommon.

She said she had already done a scan elsewhere, and they told her it was canc3r.
According to her, she had been “treating it” and came to check if the canc3r had reduced in size.

I had to slow down.
This is not an oncology clinic now. If you re beign treated, You should be in oncology. This is not put patient department.

I asked, “When were you told this?”
She said, “Almost one year ago.”
One year?!
I continued…
“Have you had any surgery?” “No.”
“Any other tests apart from that scan?” “No.”
“Chemotherapy?” “No.”
At this point, I just looked at her.

Nna, this one na agbagwojum anya o. 😳
One scan, one diagnosis, commence treatment. No doctor does that.

Someone told you that you have breast canc3r,, confirmed it, just with a scan?
Not suspicion. Not “we need to investigate further.”
They told you plainly: this is cancer.
I asked, “So how have you been treating it?”
She said she had been seeing a herbal healer who gives her medication.

In my head, I was already tired.
Nna eh, Na wa o.

How do you even begin to explain this thing to her.
Anyway, I asked her to lie down so we could proceed with the scan.
As I scanned, I paid close attention to the lump she pointed out.
Because of the history she gave “big CA” I was expecting to see certain worrying features.
But what did I find?
A lump that was:
Mobile
Well-defined
No associated pain
No suspicious characteristics on ultrasound
Nothing about it suggested malignancy.

In fact, it looked very much like a fibroadenoma a common, benign breast lump seen in young women.
I finished the scan i said
“I would strongly advise you to see a proper doctor for further evaluation.”

She looked at me and asked,
“So, is the cancer reducing?”

Chai. how do I explain this thing now.

I said,
“My dear, I cannot confirm that you have cancer or ever had it. From what I see, this lump looks like a fibroadenoma, which is usually not cancer. But ultrasound alone cannot give a final diagnosis. You need proper assessment, possibly a biopsy, to be sure.”
She replied,
“Ah aunty nurse, the man treating me is very good o and cheap. I’ve only spent 3 m1lli0n na1ra.”

3 m1ll1on… Hey Jesus
For a diagnosis that was never even confirmed.
I just looked at her.
Then I told her honestly,

“I don’t think you have what you were told. The person treating you is probably using you as spare bank o.But because I cannot make a definitive diagnosis from scan alone, you need to see a qualified doctor.”

I could see the confusion on her face.
She asked again,
“If I don’t have cancer, what do I have?”
And I said,
“You need proper medical evaluation to know exactly what it is.”

Let me say this clearly:
Ultrasound cannot confirm breast cancer.
It can only suggest or raise suspicion.
The gold standard for diagnosis is a biopsy.

Then she asked, What is biopsy?
I answered it is a lab test where they will take a sample from the lump or even remove the lump completely and then take it to the Lab to check what it is.

But the scan person.
The scan person was wrong.

I hope you have learnt something new today.
FYI( fiction)

20/03/2026

Doctor: Madam, your daughter needs a pregnancy test with her symptoms.

Woman: She is just 13. Her first period was two months ago. After that she has not seen it again. Is that how you people do here?

Doctor: I am really sorry for the misunderstanding. However, with her symptoms it might be worth checking.

Woman: she is just 13. She doesn't have a boyfriend. It is forbidd3n in my house. My husband is a pastor.

Doctor: we can go ahead to run only malaria test.

Woman: I also explained to you that her lower tummy is bitting her.

Doctor: I will add a pelvic scan request.

Woman: For what?

Doctor: To check for possible signs of infection

Straight to my office.

Woman: Anty nurse, Scan my daughter. Do the scan well o. I don't know why the doctor is not doing the scan himself. Allowing a nurse to scan people.

Me: can you tell me her name and date of birth?

Woman: provides information

Me: She missed her period for two months, Any pregnancy test done?

Woman: Noooooo. She is not pregnant oh.

Me: oh ok. Starts scan: well corcumscribed gestational sac, Yolk sac visible. No heartbeat detected. Madam, I can see that she is actually pregnant.

Woman: This is why I said the doctor should not allow a nurse to scan. See the nonsense you are saying.

Me: She is truly pregnant. Look at it on the screen.

Woman: I dont understand what is on the screen. Doctor, doctor, doctor please come and scan my daughter yourself.

Doctor walks into the office: Any problem madam:

Woman: The nurse Eliza doesn't know what she is doing. Why do you allow nurses to scan instead of yourself.

Doctor: Hey. Madam, she is not an Auxiliary nurse. She is a sonographer. Very qualified.

Woman: I dont care o.I want you to scan my daughter yourself.

Doctor: I dont know how to scan. She is the only person trained to do that here. Why exactly do you want me to repeat something done by my colleague?

Woman: She said she can see pregnancy but my daughter doesn't have a boyfriend
She is 13 years old. Is she the new Mary?

Doctor: To clear your doubts, we can do the pregnancy test i asked for earlier.

Woman: oya now.

Few minutes Latter

( Me hearing screams from outside)

Woman:So it's true, you are pregnant. How? Who is the father.

(Walks back to my office in Auxiliary style)

FYI ( fiction).

19/03/2026

Helpful tips to avoid second trimester miscarriages

19/03/2026

Patient: Anty nurse goodmorning

Me: Good morning

Patient: Anty nurse, something is smelling in this your office

Me: Oh dear, No other person has complained oh and the cleaner cleaned everywhere.
Let me call the cleaner to come and clean it again.

Patient: No, It is smelling nice but it is disturbing me:

Me: (Totally confused) You mean my office has a nice fragrance but you do not like it.

Patient: Yes. Ah, it is turning my tummy.

Me: ( It must be my perfume) What do we do now?

Patient: I don't know o.

Me: ( checked my bag spare clothe spotted)
Just wait outside let me change.

Patient: ok.

Me: You can come back in .

Pateint: It is better now.

Me: ok let's begin the scan.

One reason why I do not put on perfumes with over powering fragrance. Some of the patients might have aversion for it. Sacrifices we need to make for our patients.

19/03/2026

Yesterday Judikay shared a glimpse of her miscarriage journey on social media, it struck a deep chord. She revealed that her missed miscarriage in 2025 was her sixth loss, occurring at about 3 months.
Stories like this are painful, but they are also important, because they remind us of the realities many women silently endure.
It also brings me back to a statement I saw recently under my comment section

“50% of miscarriages are avoidable.”
Someone came up with that statistics without any research source because I said v1ctims of miscarriages should not be blamed.

In many cases of miscarriage, especially in the first trimester, the exact cause cannot be identified. A significant number are linked to chromosomal abnormalities, something that cannot be prevented.

So presenting miscarriage as something largely avoidable can unintentionally create gu1lt and confusion.
If miscarriage were easily preventable, many women would not have to go through repeated loss despite doing “everything right.”

Here are two critical truths we must continue to emphasize:
1. The cause of miscarriage is often unknown
Despite medical advances, many cases remain unexplained. This is why proper evaluation and individualized care are essential, especially after recurrent losses.
Asking the woman if she ate something or lifted something heavy, or took a bike is indirectly saying, she caused it. So d0nt do that.

2. It is not the woman’s fault
We must move away from blame. Miscarriage is not caused by something a woman did or didn’t do in most cases. What she needs is support, compassion, and understanding, not judgment.
Too often, we hear these stories, say “sorry,” and move on without truly understanding or educating ourselves.
For the women experiencing this, it is not just a moment,it is a journey. Something she will live with all her life.

19/03/2026

Akpa a m u odogwu anaa ebeewu
chai,This life no balance. Fine man with correct steeze.

That Tuesday afternoon was going so smoothly. I had already scanned 15 pregnant women and it was good news back-to-back.
No “unfortunately,” no “I’m sorry to say” Nothing.
In my mind, I was already dancing. I even told myself, “Ah ah, can't everyday just be like?
Good news only!”

Amaghi m na ihe ka nte nọ n'uzo

A few minutes later, one tall, dark, fine man walked into the clinic. Not just fine o,complete spec. I quietly looked around, no woman with him.
I said, “Okay o who are we admiring today?”
From my office window, I allowed myself small admiration. Just small. God’s creation is wonderful, abeg. The man was giving full odogwu energy. I was busy admiring him that I didn't even notice his steps were off.

Next thing, receptionist brought a request form.
Scrotal scan.
I looked at the form, then asked, “Na that man?”
She said, “Yes.”

Immediately, auto reset. Admiration cancelled. Professionalism activated.
“He is now my patient.”
No more butterfly flying in my bellllllllle.

He walked into the scan room. Then I asked him, “Sir, what brought you in today?”
He looked at me and said, “Are you the one doing the scan?”
I said, “Yes, sir.”
The way he looked at me ehn, I could already hear his inner voice: “This small girl wan handle this situation? Chineke!” How can this smallie be held my boxers( in thick igbo accent)
But we move.

He started explaining.
On Sunday, he was playing football with his friends. One powerful shot, gbam! straight to the groin. Direct hit. No mercy.
Pain? Immediate. Intense on his right testicl3.

His friends advised him to go to the hospital, but as it is in Nigeria, Sunday evening, everywhere don lock. So he said, “I will be fine,” and went home.
Took paink1ll3rs so much that it made him sleep.

Monday, he felt a bit better. Continued his medication. But then one side of the sc***um changed colour that monday. He still kept on taking the pain relief.

And the pain came back. Worse on Tuesday morning.
That was when he said, “Okay, maybe I should see a doctor.”
Doctor now sent him for scan.
At that point, my clinical brain had already switched on.
I started the scan.
Right testicle: grossly enlarged.
Small hydrocele present.
Echotexture: not uniform at all.
Then I checked blood flow…
Nothing.
Zero.
Chai.
At that moment, you just know.
Then I said, “Bros, you for try go hospital that day o.”
He gave a small laugh and said, “True sha, I hope everything is okay?”
I replied, “Your doctor will explain better.”
Because how do you now start explaining “time has passed” inside scan room?

If he had gone to the hospital immediately after that injury, intervention could have saved that testicle.
But with something like testicular torsion, once blood supply is cut off for too long, damag3 becomes irreversible.
Now
One side is gone.
Necrosis has taken place. Irreversible. They would have to remove it completely.

The other one? Still standing strong. That will be his saving grace if he wants his own kids in future.

Any sudden, severe pain in the testicles is an emergency.
Not “let me monitor it.”
Not “let me take drugs first.”
Time is everything.
No form strong man when your future is involved.

Na so the story take end o.
I hope you have learnt something new today.
FyI( fiction).

18/03/2026

Patient: Anty nurse please i have a question

Me: Ok. I am listening but I am not a nurse.

Patient: Anty nurse, Why is it that anytime I come for scan here, you will give me one date. When I scan at other places they will give me a different date.

Me: The reason is because the first date I gave you before 14weeks is the most accurate. Even though you might not deliver on that day it is still the most accurate one so no need to change it.

Pateint: But Anty nurse, why do other people keep giving me different dates.

Me: Every centre practise differently and we don't share information with them but to avoid confusion your earliest scans the one done below 14weeks gives the most accurate dates on scan.

Patient : Anty nurse.

Me: I am not a nurse.

Patient: Anty nurse.

Me: I am a sonographer

Patient: They are all the same. Why is the early scans accurate for dates?

Me: During that stage we take only one measurement CRL( crown rump length) After 14weeks, we start taking 3 or 4 measurements which increases the error.

Patient: OK. Anty nurse thank you.

Me: You are welcome.

18/03/2026

Ignorance mpa gi oooo

The moment I tried to carefully explain that they needed to follow up with their doctor, the husband shouted “Jesus!”

His fists clenched. Everywhere first blur.

And just like that, The sweet loving husband that came for a scan with the wife bacame Agu ndogbu.

The truth is, I hadn’t even said much yet.
Because in my practice, I was allowed to explain findings, but not make a definitive diagnosis. And that balance? It can be very difficult.

So I kept it simple:
“I noticed a few things during the scan. The baby wasn’t really opening the hands, the legs look curved, and there’s something along the spine. You need a proper evaluation with your doctor.”
That was all.

But what happened next eh. Obi gbawara m

The husband turned to his wife immediately.
“What did you do to this baby?”
“I have been doing everything for you!”
“We have waited 5 years for this child!”

Ah.

Before I knew it, I had become defender of the universe.

“Sir, she doesn’t need to do anything for this to happen. This is not her fault.”
But he didn’t even look at me.
He kept going.
“Madam, were you taking the pregnancy care I bought for you?”
At that point, the woman was already in tears.
She opened her bag with shaky hands… and brought out three empty packs of her care max.

“I took them o. I didn’t miss my drugs o.
Chineke gbakwaram aka ebe.
I went for antenatal. I don’t know what happened ”
She was crying. Deep, painful tears.

Chai, Obi m. I nearly joined her o.

I knelt beside her, reassuring her again:
“This is not your fault.”

The husband started explaining how he had been “taking care” of her.
“Every day, I carry her to a local joint. I buy bush meat ( gbagam) palm wine( gbagam) sometimes stout( Jesus ooo) I wanted her to enjoy”

I paused.
“Wait, palm wine?”
“Yes.”
“Stout?”
“Yes.”
Then I asked the wife:
“You were taking alcohol?”
She looked at me, genuinely confused.
“Alcohol? No ooo”

I said, “Palm wine and stout are alcohol.”
Her eyes widened.
“Anty nurse, I didn’t know, people said it is good for pregnant women”

Hey Ndi Obodo araputa ndi aaaaaaooo.

She even added:
“My friend drinks stout every day and her children are fine, why is my own different?”

And that right there is the danger of ignorance. Hey
Because not everything you see others do safely will be safe for you.
Alcohol in pregnancy is not safe.
Not palm wine.
Not stout.
Not “just small.”

Lekwa nu ihe lack of knowledge na cause biko

If you’re pregnant or trying to conceive, save this post and share it. Someone out there needs this truth.

FYI( fiction)

17/03/2026

1. Pelvic scan non pregnant patient( TA)
TVS will be done with completely empty bladder.

2. Abdominopelvic scan: Non pregnant patient

3. Abdominopelvic scan male patient

4. Obstetric scan early pregnancy below 14weeks( full bladder).

After 14weeks, Use your discretion. A full bladder doesn't mean an uncomfortable patient needing the toilet.
Too much bladder distention is also counter productive.

I hope this helps.

17/03/2026

Me: Madam why are you coming for your fist ultrasound at 38weeks?

Patient: I didnt have money

Me: OK. Your baby has a normal heart rate, head down, anterior placenta, amniotic fluid looks ok.

Patient: Is the babies weight ok?

Me: measuring the weight today might not be accurate but looking at the graph. Seems to be within normal.

Patient: is it a baby boy or baby girl

Me: It is a girl

Patient: when will I deliver

Me: Checking dates this late is usually not very accurate but scan is showing you could give birth on the 20th of March.

Patient: I hope nothing is wr0ng with the baby, like everything is complete nothing is abnormal?

Me: The time to check all that is passed. Baby is too big to check that.

Patient: what do you mean.

Me: If you wanted to check all those things you should have done a scan earlier at 20 weeks.

Patient: All this nurse Eliza that doesn't know anything. Is it not now that the baby is big that you can see everything?

Me: when the baby is big, it makes it difficult to see certain structures like the face, spine and the limbs.

Patient: If I give birth to a child with issu3s, I will hold you responsible.

Me: Upppppppeeeeee. You should have thought of that before coming too late to check your baby.

Patient: That is a waste of money. The money for scan my husband gave me i was saving it so you have to look well and tell me if everything is ok.

Me: Time to check all that is passed. Just hope for a healthy baby on the day of delivery.

Patient: Anty nurse help me and check.

Me: God is our helper.

Did you learn anything from this dialogue?
Go for your anomaly scan at 20weeks. Go early
Don't wit until later. The bigger is not better.

17/03/2026

Our forefathers did it, so I will do it.

This child is not fát. The child is so small. Give this child water. Add akamu o. Are you giving Olympic breast milk. All these agbara ohuru mothers.
I gave you all those things when you were small are you not fine?

Nye nwa nwa m mmiri.
Nye ya akamu osiso. Lift the head back and pour the akamu if the child is not taking it.

I was quietly in the scan clinic reading Essentials of Abdominal Sonography when a middle-aged man walked in with two children.

One looked about four years old.
The other was a tiny baby about three months old.
Immediately, I noticed the panic on his face. Something was clearly wrong.
I looked around to see if their mother was with them, but no.
It was just the man and his children.
He handed me the scan request form.
Abdominopelvic ultrasound for the 3-month-old baby.

Oga where is their mama?
She went to market.

My mind immediately started asking questions.
What could make a doctor request an abdominopelvic scan for a 3-month-old baby?
So I asked the father about the child’s symptoms.
He said, “The baby was having persistent vomiting and keep crying. They gave him some local herbs plus gripe water because they taught it was just colic the symptoms has continued for more than 4 days so they decided to finally go to the hospital as the child was getting worse by day.
You gave a 3 months old local herbs and gripe water? He said, Yes o my my sister.

Now my suspicion increased.
A three-month-old baby vomiting everything? Something was definitely wrong.
So I asked another question.
“Oga, apart from breast milk, what formula is the baby taking?”
He replied,
“He is not on formula. He eats everything.”

Everything?( you should have seen the shock on my face) Everything?
“Including garri?”
He said yes.
At that point, my mind started doing kpom kpom kpom.( my brain was already gathering differential diagnosis, volvulus, intussusception, intestinal obstruction, severe constipation)
A three-month-old baby eating garri?
Rice?
Beans?
How exactly is that tiny digestive system supposed to handle that?
I asked him, “Isn’t the baby too young to start eating those kinds of food?”
The man looked at me and asked, My dear do you have children?
I said no sir.
He then said, You won't understand. We started with only breast o, he was smaller than other children around.
“He wasn’t looking big and healthy, so we started feeding him garri, pap, rice, and beans. He actually liked it. And my mother insisted the baby was big enough to start eating normal food.

Chineke nna!

“Did the hospital not explain that babies should be exclusively breastfed for the first six months if possible?”
Breast milk alone is enough for that stage now.

But garri?
For a three-month-old?
Anyway, we proceeded with the scan.
The moment he exposed the baby’s abdomen, I already noticed something alarming.
The stomach was distended.
That is never a good sign in a baby.
I placed my probe on the abdomen and started scanning.
Within moments, the diagnosis became clear.
Intussusception.
one part of the intestine was sliding into another part, like a telescope collapsing into itself. When this happens, it can block food from passing through and cut off blood supply to the bowel.
And the symptoms match exactly what the father described, Persistent vomiting,Severe abdominal pain,Abdominal swelling.
A three-month-old digestive system is not designed to digest solid food.
Not garri.
Not rice.
Not beans.
Not yam.
Introducing those foods too early can overwhelm the baby’s gut and lead to serious complications.

Oga I have finished scanning.
Carry the baby.

He then asked me ajuju were m iwe.
Anty nurse, Is everything ok?
Is the herbs working?

I been wan talk, I just said, please take him back to the doctor with the report they will explain everything for you.

Someone out there may still be feeding a newborn foods their body cannot handle.
Ina ajum is the herb working.

FYI: not a true story. However it is designed to explain some complications that can arise from introducing solids earlier than recommended to children.

If you find this educative, please share

17/03/2026

Oligohydramnios
Reduced amniotic fluid

Celebrity sonographer

20/03/2026

20/03/2026

19/03/2026

19/03/2026

19/03/2026

19/03/2026

18/03/2026

18/03/2026

17/03/2026

17/03/2026

17/03/2026

17/03/2026

Address

Website

Alerts

Contact The Practice

Shortcuts

Featured

Share