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Cortico Basilar Degeneration Featured

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Cortico Basilar Degeneration (CBD) or Corticobasal Ganglionic Degeneration (CBGD) is a rare, progressive neurodegenerative disease that involves the cerebral cortex and the basal ganglia.  It is often referred to as one of the neurological disorders that falls under the title of "parkinsonism" because as the disease evolves, a person begins to demonstrate characteristics that can be confused with Parkinsons disease.  In fact there are many patients who are initially diagnosed with Parkinsons disease, only to be told "down the road" that they don't have true or ideopathic Parkinsons disease, but rather one of the "imitators," which CBD is sometimes called.

You can find information about this disease on the internet, but one of the frustrating things about being diagnosed with a condition like CBD, is that the symptoms are not as consistently similar from patient to patient, like the symptoms that most Parkinsons patients have, and the disease does not respond to the use of Carbidopa/Levodopa, like Parkinsons Disease does.

So, the primary challenge in managing this condition is the need for the patient and the care-partner to keep a watchful eye on how the medication the patient is given, changes the symptoms that the patient experiences.  For example; if a medication is prescribed by your doctor, you can go to the Forms Tab and download a Symptom Tracking Chart. With this chart you can circle the time you take your medication that is supposed to improve your function, and then monitor if your ability to function improves or seems to worsen.  The bonus with this approach is that you can take concrete information back to your physician or medical treatment team and show them which symptoms improve or worsen or stay the same. 

There are some medications that can give more side effects than benefits.  That is what you want to be able to determine.  The reason why this is so important is because you need to manage these diseases.  Usually there are no quick fixes for these conditions.  The goal has to be to maintain the best quality of life possible, while experiencing functional changes. 

For example if you are taking Carbidopa/Levodopa and have been told by your doctor that they are not sure if you or your loved one actually has Parkinsons Disease, then all the more reason for you to follow your symptoms after taking the medication to see if the medication improves your condition.  If not, report it to your doctor. Let them decide whether or not to try to reduce your medication, and see what happens to your symptoms.  You have to have an open line of communication with your medical providers.  If the medicine isn't helping, you need to let them know, and let them advise you on how to reduce the medication and see if you feel better off the medication (or on a smaller dose). 

There are different symptoms that occur with this condition, that separate it from Parkinson's Disease. 
A few features of this condition that are not like Parkinson's Disease would be the development of a lack of awareness of a limb (usually one arm), to the point that when a person walks, they actually may experience that they unconsciously hold one of their arms behind themselves.  In fact, when you point out that their arm is not along their side, it is something that they don't recognize as happening.  The separation of one arm from the rest of the body can also have a noted increase in sensation or sensitivity.  Many patients feel that they have an increase in pain and stiffness in the arm that they have difficulty "controlling." Some patients will have problems controlling the movement of the leg that is on the same side of the body.   Balance is commonly affected.  Depression is common as well.

Go to the Home Management Tab and see if you can get some ideas as to how you might be able to improve your ability to function at home.  Remember that different adaptations work for some people and others need to modify things in another way.  NEVER sacrifice your safety.  Always remember that SAFETY IS OUR FIRST PRIORITY.  Remember that if you are having problems walking now, just think how hard it is to rehabilitate a person and teach them to walk again, when you already have a balance problem.  We want to avoid falls, and if you need to use adaptive equipment to avoid a fall, like a wheelchair, walker or a type of power mobility device, it is more important to be safe than worry about what you look like..or what you THINK you look like.  We are usually harder on ourselves than our friends and family are toward us.  Our Goal is to help you manage this condition and have the best quality of life possible..."Now let's get going!" xo Sally

If you would like to learn more about Sally Thimm OTR/L Occupational Therapy Services visit: Professional Case Management of SWFL

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Sallys Stuff

Senior Citizens Discounts

This information was passed along to us; we thought this would be interesting information to post on our website, since we all love a good deal!

In order to receive the Senior Citizen discounts listed below, you have to mention the discount prior to paying.

If you find that some of these locations do not offer the discount any longer, or if you come across a vendor that should be added to the list, please go the “Contact US” Tab on the homepage of the website.  Send us an email, for a vendor to be added or removed. Happy Shopping& Saving! ~ From the staff at Sallycares.com

Applebee's: 15% off with Golden Apple Card (60+)
Arby's: 10% off ( 55 +)
Ben & Jerry's: 10% off (60+)
Bennigan's: discount varies by location (60+)
Bob's Big Boy: discount varies by location (60+)
Boston Market: 10% off (65+)
Burger King: 10% off (60+)
Chick-Fil-A: 10% off or free small drink or coffee ( 55+)
Chili's: 10% off ( 55+)
CiCi's Pizza: 10% off (60+)
Denny's: 10% off, 20% off for AARP members ( 55 +)
Dunkin' Donuts: 10% off or free coffee ( 55+)
Einstein's Bagels: 10% off baker's dozen of bagels (60+)
Fuddruckers: 10% off any senior platter ( 55+)
Gaetti’s Pizza: 10% off (60+)
Golden Corral: 10% off (60+)

Hardee's: $0.33 beverages everyday (65+)
IHOP: 10% off ( 55+)
Jack in the Box: up to 20% off ( 55+)
KFC: free small drink with any meal ( 55+)
Krispy Kreme: 10% off ( 50+)
Long John Silver's: various discounts at locations ( 55+)

McDonald's: discounts on coffee everyday ( 55+)
Mrs. Fields: 10% off at participating locations (60+)
Shoney's: 10% off
Sonic: 10% off or free beverage (60+)
Steak 'n Shake: 10% off every Monday & Tuesday ( 50+)
Subway: 10% off (60+)
Sweet Tomatoes: 10% off (62+)
Taco Bell : 5% off; free beverages for seniors (65+)
TCBY: 10% off ( 55+)
Tea Room Cafe: 10% off ( 50+)
Village Inn: 10% off (60+)
Waffle House: 10% off every Monday (60+)
Wendy's: 10% off ( 55 +)
Whataburger: 10% off (62+)
White Castle: 10% off (62+)

Banana Republic: 30% off ( 50 +)
Bealls: 20% off first Tuesday of each month ( 50 +)
Belk's: 15% off first Tuesday of every month ( 55 +)
Big Lots: 30% off
Bon-Ton Department Stores: 15% off on senior discount days ( 55 +)
C.J. Banks: 10% off every Wednesday (50+)
Clarks : 10% off (62+)
Dress Barn: 20% off ( 55+)
Goodwill: 10% off one day a week (date varies by location)
Hallmark: 10% off one day a week (date varies by location)
Kmart: 40% off (Wednesdays only) ( 50+)
Kohl's: 15% off (60+)Modell's Sporting Goods: 30% off
Rite Aid: 10% off on Tuesdays & 10% off prescriptions
Ross Stores: 10% off every Tuesday ( 55+)
The Salvation Army Thrift Stores: up to 50% off ( 55+)
Stein Mart: 20% off red dot/clearance items first Monday of every month ( 55 +)

Albertson's: 10% off first Wednesday of each month ( 55 +)
American Discount Stores: 10% off every Monday ( 50 +)
Compare Foods Supermarket: 10% off every Wednesday (60+)
DeCicco Family Markets: 5% off every Wednesday (60+)

Food Lion: 60% off every Monday (60+)

Fry's Supermarket: free Fry's VIP Club Membership & 10% off every Monday ( 55 +)
Great Valu Food Store: 5% off every Tuesday (60+)
Gristedes Supermarket: 10% off every Tuesday (60+)
Harris Teeter: 5% off every Tuesday (60+)
Hy-Vee: 5% off one day a week (date varies by location)
Kroger: 10% off (date varies by location)
Morton Williams Supermarket: 5% off every Tuesday (60+)
The Plant Shed: 10% off every Tuesday ( 50 +)
Publix: 15% off every Wednesday ( 55 +)
Rogers Marketplace: 5% off every Thursday (60+)
Uncle Guiseppe's Marketplace: 15% off (62+)

Alaska Airlines: 50% off (65+)
American Airlines: various discounts for 50% off non-peak periods. (Tuesdays - Thursdays) (62+)and up (call before booking for discount)
Continental Airlines: no initiation fee for Continental Presidents Club & special fares for select destinations.
Southwest Airlines: various discounts for ages 65 and up (call before booking for discount).
United Airlines: various discounts for ages 65 and up (call before booking for discount).
U.S. Airways: various discounts for ages 65 and up (call before booking for discount)

Amtrak: 15% off (62+)

Greyhound: 15% off (62+)
Trailways Transportation System: various discounts for ages 50+

Car Rental:
Alamo Car Rental: up to 25% off for AARP members
Avis: up to 25% off for AARP members
Budget Rental Cars: 40% off; up to 50% off for AARP members ( 50+)
Dollar Rent-A-Car: 10% off ( 50+) Enterprise Rent-A-Car: 5% off for AARP members Hertz: up to 25% off for AARP members
National Rent-A-Car: up to 30% off for AARP members

Overnight Accommodations:
Holiday Inn: 20-40% off depending on location (62+)
Best Western: 40% off (55+)
Cambria Suites: 20%-30% off (60+)
Waldorf Astoria - NYC $5,000 off nightly rate for Presidential Suite (55 +)
Clarion Motels: 20%-30% off (60+)
Comfort Inn: 20%-30% off (60+)
Comfort Suites: 20%-30% off (60+)
Econo Lodge: 40% off (60+)
Hampton Inns & Suites: 40% off when booked 72 hours in advance
Hyatt Hotels: 25%-50% off (62+)
InterContinental Hotels Group: various discounts at all hotels (65+)
Mainstay Suites: 10% off with Mature Traveler's Discount (50+); 20%-30% off (60+)
Marriott Hotels: 25% off (62+)
Motel 6: Stay Free Sunday nights (60+)
Myrtle Beach Resort: 30% off ( 55 +)
Quality Inn: 40%-50% off (60+)
Rodeway Inn: 20%-30% off (60+)
Sleep Inn: 40% off (60+)

AMC Theaters: up to 30% off ( 55 +)
Bally Total Fitness: $100 off memberships (62+)
Busch Gardens Tampa, FL: $13 off one-day tickets ( 50 +)
Carmike Cinemas: 35% off (65+)
Cinemark/Century Theaters: up to 35% off
Massage Envy - NYC 20% off all "Happy Endings" (62 +)
U.S. National Parks: $10 lifetime pass; 50% off additional services including camping (62+)
Regal Cinemas: 50% off Ripley's Believe it or Not: @ off one-day ticket ( 55 +)
SeaWorld, Orlando , FL : $3 off one-day tickets ( 50 +)

AT&T: Special Senior Nation 200 Plan $19.99/month (65+)
Jitterbug: $10/month cell phone service ( 50 +)
Verizon Wireless: Verizon Nationwide 65 Plus Plan $29.99/month (65+).

Great Clips: $8 off haircuts (60+)
Supercuts: $8 off haircuts (60+)