Amy Oxentenko MD Profile picture
Professor GI @MayoClinic | Vice Dean of Practice | ACG VP | Past IM Chair | Runner | Momx3 | DEI | #PROWD #WomenInMedicine #ProudToBeACG #BOOM💥 RTs mine

Dec 14, 2022, 10 tweets

A #Colonoscopy #Tweetorial: (1/10)
⭐️To make yours go well
⭐️To ACE the prep

Background:
👉🏼50 yrs: Past start CRC screening
👉🏼45 yrs: New start for average risk

tinyurl.com/y7u98crs

💠Just had first colonoscopy
💠Yeah, I know. Give grace!

My 1st time tips as a GI doc!

Colonoscopy requires planning! (2/10)

📅 Plan a date in advance
📅 Ensure you will have a driver
📅 Be sure you pick up the prep
📅 Read instructions a week before
📅 Don’t make plans night before!
📅 Don’t make plans the night of!

#ColorectalCancer
#ColorectalCancerAwareness

Colonoscopy requires shopping! (3/10)

👉🏼Need clear liquids 24 hrs+
(longer if bad preps)

Stock up:
🥤Juice (apple/white grape)
🥤Non-fatty broth
🥤Jello, popsicles (no red)
🥤Sports drinks
🥤Coffee, tea

*also wet wipes* (later)

A “fav” of mine:
👉🏼Bone broth w/protein

Why read instructions a week before? (4/10)

🩸On blood thinners?
🩸Check if/when to hold

🌾 Eat high fiber diet?
🌾 Decrease up to 5-7 days

🥜 Hold seeds, shells, skins
🍞 Hold wheat, pulp, roughage

This was hard!
Snack shelf below👇🏼
🍿my fav snack! 😩

#PrepIsKey 🔑

The morning day before test: (5/10)

💠 Mix first half of prep
💠 Consider holding flavor packet
(Unless you know you ❤️ it)
💠 Chill in fridge
💠 Have hard 🍬 and gum on hand
(Distracts you when hungry)

I decided to be festive! 🎄

#ChilledPrepIsBetterPrep

Then the 6 pm fun begins! (6/10)

😳Drink this amount every 15 min
😳Fancy glass helps the psyche
😳Suck on candy in between
😳After gone, drink ~20 oz clears
(I chose @Propel_Water)
😳Chant the @Nike mantra:

#JustDoIt!

Cheers y’all! 🥴

Now vulnerable truths: (7/10)

🧻 Stay close to 🚽
🧻 Your bum could get sore
🧻 But that is preventable
🧻 TP is drying, chaffing
🧻 Get wet wipes!
(you will thank me)
🧻 Use wipes from the start
(don’t wait until miserable)

My choice!👇🏼

#SaveTheBum
#WetWipes + @Charmin

Half done, half to go! (8/10)

⏰ 3 hours b/f report time
⏰ Start 2nd half prep
⏰ I found Dixie cup best
(one cup, one swallow)
⏰ My preference - NO flavor pack
⏰ 16-20 oz clears after

Hubby brought me ☕️ in this mug
How fitting

#BeyondBristol
#WayBeyondBristol

Then comes show time! (9/10)

👉🏼 Fancy gown
👉🏼 IV access
👉🏼 All the monitor pads
👉🏼 Time to sleep!

“Yes, my ❤️ rate is in the 40s”
😂🏃🏻‍♀️😂🏃🏻‍♀️😂

The @mamadocsPOWR get it.

🤔 Biggest dilemma for a GI doc?

🤪 Picking the colleague to do it!

#TheEasyPart

The aftermath: (10/10)

🌟Get ride home
🌟No driving, no drinking
🌟Think of your favs to eat
🌟Start with amazing coffee
🌟I got A+on my prep (whew)
(BBPS of 9 for GI friends)!
🌟Clean bill of colon health

Until next time!

“The best screening test is the one that gets done”

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