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You will retain that status level for the remainder of the current six 6 month period in which you earned the qualifying number of TS Rewards points and for the following six 6 month period. If in the defined six 6 month period you do not to earn the required number of TS Rewards points through gaming activity necessary to maintain your current Tier Status, you will be reassigned to the appropriate Tier Status for the next six 6 month period. Turning Stone may change the TS Rewards Program, its elements or benefits at any time in its sole discretion. Redemption of Points and Rewards To redeem benefits under the TS Rewards Program, you are required to present valid government-issued photo identification bearing the same name as stated on your TS Rewards card.

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Management reserves the right to change, increase, decrease or substitute any TS Reward Program benefits, privileges or rewards at its sole discretion. TS Reward Program points and comps have no cash value and may not be transferred. Notwithstanding any of the foregoing, if any gaming related indebtedness remains unpaid for a period of at least 90 days, your accumulated TS Rewards Program points, comps or benefits may be forfeited at the sole discretion of management. All rewards and benefits under TS Rewards Program are offered at the sole discretion of management.

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To understand why sinuses become infected, you need to understand some basic, logical anatomy. Sinus congestion can occur from changes in the atmospheric pressure nothing you can do about thatfrom allergens and finally from the mucus from infections itself. My Plan for Sinus Relief My immediate plan when a patient begins to feel sinus congestion or pressure is to use a topical decongestant, such as Afrin, along with a nasal steroid. Both are now over-the-counter. I know many patients are afraid or worried about using Afrin, but it is a very effective nasal medication if used appropriately.

My patients are carefully instructed to use Afrin nasal mist for 3 days and always followed within 5 minutes by the Nasal cortisone spray. After 3 days, most patients feel significant sinus relief and have avoided developing a sinus infection. Then, I usually have the patient use the Nasal cortisone spray for another week or two just to make sure the sinuses stay open.


Tramny a patient is still not feeling enough relief from sinus pain, I will prescribe an oral decongestant like Sudafed for a few days, along with a pain reliever Tylenol or Advil sinus both can be used. I do warn patients not to use the decongestant pills at night because they can keep you awake, and also not to use these medications without supervision if you have high blood pressure or a heart condition. Research clearly shows most congestion and even infections are not due to bacteria, but viruses. I too often see patients take too many antibiotics.