Missed Ectopic Wake-Up Call
She reveals her career's most haunting mistake
Jul 28, 2026 · 1 hr 34 min · 15 segments
Most people think a 20-week ultrasound is about finding out whether they're having a boy or a girl. Dr. Celeste Sheppard wants to change that. A maternal-fetal medicine specialist, perinatologist…
Celeste SheppardGuest
Ugo EzemaHost
how did you get into congenital heart disease? And I have some numbers here about one in a hundred babies.

Um, it's the most common birth defects, one in a hundred babies and prenatal detection rate in the United States is still on the 60%.

And it may or may not be relevant in my sort of history of looking, right? So we talked about my college experience of looking at things and thinking about what you see.

Somehow or other, along the way, I fell in love with obstetrics and then wanted to do maternal-fetal medicine, mostly because I thought that problems of taking care of women in labor and getting safe navigation of labor for mothers and babies was really... thrilling and challenging.

But one of the things that MFM physicians do largely is ultrasound or reading, certainly reading ultrasound.

And one thing that I think is different about my experience than many others is that My first job out of fellowship, in my first job, I was recruited to the University of Maryland, and the chairman there was also an MFM.

And he felt like it was really important for other MFMs to know how to scan.

So ultrasound is a little unusual, and medical imaging in general, it's usually performed by a technician and the physician reads it.

Sonography is very, very user-dependent, and it's such a three-dimensional dynamic kind of thing that it actually is quite helpful, I think, for physicians to know.

So the chairman said, you know, the junior faculty can't use the sonographers.

So that was startling, but also really, really dramatically useful for a lot of reasons.

And my second job, as it happens, as an MFM, they didn't employ sonographers.

how did you get into congenital heart disease? And I have some numbers here about one in a hundred babies.

Um, it's the most common birth defects, one in a hundred babies and prenatal detection rate in the United States is still on the 60%.

And it may or may not be relevant in my sort of history of looking, right? So we talked about my college experience of looking at things and thinking about what you see.

Somehow or other, along the way, I fell in love with obstetrics and then wanted to do maternal-fetal medicine, mostly because I thought that problems of taking care of women in labor and getting safe navigation of labor for mothers and babies was really... thrilling and challenging.

But one of the things that MFM physicians do largely is ultrasound or reading, certainly reading ultrasound.

And one thing that I think is different about my experience than many others is that My first job out of fellowship, in my first job, I was recruited to the University of Maryland, and the chairman there was also an MFM.

And he felt like it was really important for other MFMs to know how to scan.

So ultrasound is a little unusual, and medical imaging in general, it's usually performed by a technician and the physician reads it.

Sonography is very, very user-dependent, and it's such a three-dimensional dynamic kind of thing that it actually is quite helpful, I think, for physicians to know.

So the chairman said, you know, the junior faculty can't use the sonographers.

So that was startling, but also really, really dramatically useful for a lot of reasons.

And my second job, as it happens, as an MFM, they didn't employ sonographers.
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