Indian Summer (age 23) was making that funny tongue motion because she had a big lump in her throat that probably felt the way something does when it gets stuck in your tonsils.  Dr Wynn aspirated the lump, which appears to be cancerous, so that it won’t bother her as much.  Her exam and blood work shows advanced heart disease, latter stage kidney failure and a plethora of other problems, but everyone who knows her knows that she never misses a meal so as long as she is feeling good and enjoying life we will give her supportive care.