When I saw the IF topic for this week the first thing I thought of was circus geeks. In the old days the guys that would bite heads off live animals, hammer nails in their heads, swallow stuff. Ah, the good old days!
I think I mixed up my idioms. My first thought was "up the twist" meaning pregnant. But then I started to wonder, is it "up the spout" and "in a twist"? Oh well, her dog is all twisted around her and her shirt pattern is lemons and you can twist those. Oh and a snail is kind of twisted. Whew.