Thursday, November 18, 2010



What do you get when you mix Anakin Skywalker with a little dutch girl? Well you get mayhem and a lot of candy. You also get some creative pumpkins.

The Week of S

I call this the week of "S" because my main activities involved buying clothes for Sunday, watching Soccer and removing Salivary Stones at work.

A few weeks ago we went in search of new church clothes. Every year, probably not as often as we should, we go through this ritual. Maybe we don't do it as often as we should because it's so dang hard to find dress clothes. Poor Spencer's toes were about to break through his old dress shoes. He started looking like the motley crew at church. It was time to take the plunge. We started at Macy's....nothing. Then Kohls...again, nothing. I remembered that we tried this last year and the year before. So it dawned on me that the only store which consistently has dress clothes was JC Penny. So over to Pennys we strolled. 



Here is the result of Clothes Changing Syndrome. It occurs in dressing rooms, when the motions of taking on and off clothes and showing them to your dad makes you crazy. There was, fortunately, a remedy. It's called bed time. Bed time for Spencer and bed time for dad. While I took Spencer shopping, Carrie took Amber. We had a successful shopping night. Doesn't happen this easy very often.



The next day was one of the last soccer games of the season. I think we were pretty lucky this soccer season, as far as weather goes. It didn't start getting cold and cloudy until the last week or two. Here's Spencer's team.



Later in the week, I took a young patient to the operating room to remove these stones from Wharton's Duct. Wharton's duct is a name for the submandibular duct. The submandibular gland is a major salivary gland, that usually can be felt under your jaw, one under each side. It is not uncommon for stones to form here, mostly made of calcium, like kidney stones. Stones this big don't usually come out easily. Fortunatley for the patient, these did. The procedure is performed by identifying the opening to the duct, which lies in the front of the mouth, behind the lower incisors. The openings to the duct usually appear as small punctum, one on each side of the small web in the middle, under the tongue, called the frenulum. Once the opening is identified, the duct is dilated and incised. The stones are retrieved and the duct is sewn open to prevent it from scarring closed.