It also makes me think about the classic Save icon: the floppy disk. That was certainly descriptive at its origination, but is it still so? In the age of natively storing documents in the cloud or copying to a USB drive, it seems like we might want more than one save menu or an appropriate icon for where the file resides on the single Save menu item. Microsoft Office has the Autosave toggle switch that serves some of this purpose, but it could definitely be better.
I also think about the Zune UI where sometimes a menu consisted only of the icons. How do you enable unique menu designs like Zune without icons for everything?