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My name is Robert Ruiz, I am a firefighter/paramedic with the San Antonio Fire Department, and I would like to share my experiences and interactions regarding Dr. Steven Cyr and his medical staff.
I was injured on duty in June of 2008. I was diagnosed with a herniated L5-S1 disc with radiculopathy in my left leg. After going through aquatic therapy and physical therapy with no improvement, I was referred to Dr. Cyr by my primary doctor. I met with Dr. Cyr and his staff for my initial evaluation and MRI review. He patiently took the time to review my MRI, conduct a detailed physical exam, and explain his findings to me in detail. We then discussed my treatment options.
Dr. Cyr’s recommendation was that we start conservatively and try steroid injections. He also inquired how my pain medications were working for me. I told him they really were not helping me. He explained that muscle relaxors and narcotic pain meds were not my only or best option. He told me he thought I would benefit from Lyrica and took the time to explain the drug to me and why he thought it would help me. He made sure I understood everything and that he answered all my questions before he left the room. I left the appointment very satisfied and impressed by Dr. Cyr. He took the time to address all of my questions and concerns in a very personable and professional manner. I was impressed that a surgeon would advise me not to rush into surgery, but instead to try to exercise all other options first. Something he told me has stood out to me as being the perfect example of his personable approach to patient care. He explained his recommendation for my treatment plan would be the same advice he would give to a member of his own family.
Two days after starting the Lyrica I noticed a huge difference in my pain levels. For the first time in 2 months I was not miserable. I owe that to Dr. Cyr, as none of the other doctors I had seen even mentioned Lyrica as an option. I think that is a testament to Dr. Cyr’s ability to devise a comprehensive care plan, tailored to each individual patient, for maximum effectiveness. However, even with the Lyrica and 2 steroid injections over the next several months, I had no relief. At the time I made an appointment to see Dr. Cyr to discuss my options. He told me we were out of options and discussed surgery. He explained the different surgical procedures that were available to me. He also discussed the pros and cons of each one as it pertained to my specific case. Once again he spent a lot of time with me, answering questions and making sure I understood everything. We decided on an open discectomy, which was scheduled for January 2009.
The morning of the surgery we went over the procedure again and what I could expect. He was honest and truthful and did not make a bunch of false promises as to my outcome. All he promised was that he would do the best he could for me. I appreciated his honesty and candor, as I don’t think many surgeons would be so frank. Going into surgery I felt calm and safe knowing I was in the hands of an exceptional surgeon. After the surgery, Dr. Cyr came into my room and explained everything he found and what he did during the surgery. He had another surgery to do but later came back to my room again to check on me. He answered all my questions and then left with the instructions to call him if I had any problems. I was discharged the next day and had several follow up appointments with Dr. Cyr over the next few months.
My outcome since my surgery has been better than I expected, and I think I owe it all to Dr. Cyr and his staff. I believe Dr. Cyr possesses a rare combination of competence, skill, integrity, compassion, and personality. I feel extremely fortunate that I was referred to him. I would not hesitate to see him again for any future surgical needs; in fact, I would insist on it! I would also strongly recommend him to anyone else needing an exceptional spinal surgeon.
Thank you,
-by Robert Ruiz
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I was referred to Dr Cyr at Wilford Hall by my PCM because of my constant back & leg pain. First off, I have to say, I have nothing but love, praise & admiration for Dr Cyr. He is simply the BEST. He is fantastic, knowledgeable, competent, handsome, compassionate & loving. After he reviewed my MRI Dr Cyr asked me if I would consider having back surgery. My immediate response was NO because I had a failed surgery in June 2000 which made my pain even worse than before the surgery. I told him I did not want to go through the same helpless feeling I experienced after my surgery in 2000. We talked at length about what the surgery would entail. I told Dr Cyr I would discuss it with my family & would let him know. When I walked out of his office, all I could think of was Dr Cyr and how confident he was that he could correct my back problems. I had gone through years of steroid injections in my back at civilian pain management clinics to relieve the pain. All to no a!
vail. In the spring of 2008 I decided to go ahead with the surgery but I told Dr Cyr I would like to wait until November 2008 to allow me to build up my leave at work. Dr Cyr agreed to schedule the surgery for November 4, 2008 (Election day). Throughout my meetings with Dr Cyr prior to the surgery, he was caring & compassionate. He reassured me everything would be okay. I felt safe in his hands. My surgery lasted 15 hours. Now I feel GREAT!!! All, thanks to Dr Cyr. I am sorry he is retiring from the military because I am selfish and won\'t get to see him again. But, I wish him the best because he is the BEST and I highly recommend him.
Dr Cyr, may God's Blessings upon you & your family be abundant.
-Maria Mendoza
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The intent of this letter has many purposes, first and foremost, to sincerely thank you all for your dedication to my health and family during such a difficult time in my life. There are no words that can express the gratitude we have for all you have done, above and beyond what the ‘norm’ is for caring for patients with injuries such as mine.
I came to you as a patient through a personal referral, George Gonzaba, who is a dear friend of mine. He simply picked up the phone during a meeting and called his brother, Greg and asked him to contact Eloy out of concern for the amount of pain I was in and the ‘unknown’ severity of my injuries. In the lifetime, I have learned that when you treat others with kindness and human decency , it is returned ten-fold through blessings, including the fact that your practice, in the middle of a location move, accepted an immediate appointment for me to meet with Eloy. What came after that is I became a patient of a ‘family’ of caregivers who would comfort me through the difficulties of my treatment.
I will go back to the beginning by explaining my nature and character, which many of you already know just from spending the past year and a half serving my health care needs. When I was initially injured in the auto accident, I naturally sought the advice of my manager, who instructed me to go to a chiropractor. Within the next 5 months, June 2007-November 2007, I afforded Dr. Woywood the same courtesy and trust that should be given to an accredited medical professional. As my treatment continued and I felt ‘some’ relief from the thoracic and lumbar pain, I still questioned the numbness, tingling and loss of strength in my right arm. On November 30th, Dr. Woywood adjusted my neck which resulted in a loud “pop” that lead to temporary paralysis to the entire right side of the body. I had requested an MRI on two separate occasions, both of which Dr. Woywood responded, “comp won’t pay for it.”
The reason this is key is that this occurrence is what brought me to your care. Once the MRI results were obtained, I was in awe of the fact that the severity of my injuries were at the level they were. Again, I had put my trust in my physician, and felt somewhat ‘betrayed’ that he did not do everything necessary to prevent the series of events that ended up in a life-threatening surgery and a total disruption of my life as I knew it. I have lost my health, my confidence and my career that I have put all I had into for the past 5 years. Imagine being fully healthy, successful in a career you love, financially stable and the next things you hear is ‘you need to get your affairs in order.’
I want to make clear that I completely understand the necessity of your business decision to discontinue serving TWCC patients, as I am also someone who is caught up in the ‘system.’ I respect what you all do and have watched your team grow from 4 persons to a well-run, well–oiled machine that serves its patients with due diligence. It was a pleasure, even though my misery, to witness the authentic care that ALL patients received, regardless of their injury or method of payment. That is how I live my life….serve and treat others as you wish to be served and treated.
In conclusion, I am saddened to say ‘goodbye’ to all of you who have cared for me and my family and to Dr. Cyr and Eloy who saved my life. I will forever be grateful for all of the special attention given when I was at my lowest point . I wish you much success and am honored to have had the opportunity to be treated by all of your staff. My family also extends their thanks.
God’s blessings to you All,
-by Danielle Valle
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The visits have been wonderful. Quickly in and out. Fantastic Staff & Doctor Nilsson has been Great!! :-)
-by J. Carlos Barrios
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The quality of care and treatment from the Dr. Nilsson and staff has been outstanding. I have recommended this clinic to other people with bone problems. I am considering returning for a back problem I have at a later date.
-by Luther Keammerer
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Everyone at the Spine & Orthopaedic Institute has been a pleasure to work with. Dr. Nilsson has been both informative and caring since our first meeting. The pre-op & post op experiences were pleasant and accommodating to my needs. Thanks Everyone!
-by Adrian Gonzales
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I was well cared for and treated nicely by everyone. Very Professional.
-by Robert Carey
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Everybody has been very very nice. I had so much pain before and I see Dr. Nilsson. When I see him I feel so much better.
-by Diana L. Guervara
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I had struggled with a persistent shoulder injury for the past year before being referred to Dr. Nilsson. I was worried that my shoulder would never be the same and feared my active lifestyle and career would have to change. After that Initial visit, Dr. Nilsson helped to erase all those fears. I found encouragement from the support of the entire staff and was quickly scheduled for my surgery it was a success and I was returning to work much more quickly than anticipated. Because of the wonderful job Dr. Nilsson did on repairing my shoulder. I am now able to return to the job of my dreams with the confidence that the new shoulder he gave to me will allow me to keep living my dream for many years to come.
-by Bridgette Pirtle
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Everyone is great!!
-by Sylvia White
Dr. Nilsson's patient
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I enjoyed my visit with Dr. Nilsson and his staff treated me very nice at
all my visits.
-by Maria Saldivar
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Congratulations Dr. Cyr!
Your name was mentioned in this weeks Press Ganey Survey by patient Marie Pollok. Marre said you are an excellent doctor and North Central Baptist hospital should be known as having the best-trained spinal doctors.
Thank you for everything you do.
-by Blanca Ochoa, Patient Advocate
North Central Baptist Hospital
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I have long wanted to write my thanks to Dr. Cyr and Dr. Castaneda, but how do you really thank someone who has literally given you your life back? I suppose I should really thank Dr McKee for referring me to them.
After years of migraines and other neck problems and weeks of hospitalization at a time under heavy sedation for pain, I could not fake my way thru the days any longer. These wonderful people found my problem. My head and neck felt SO heavy and were actually falling off of my shoulders due to poorly done previous surgeries. They took me apart from C2-T4 and for the first time in yrs I was migraine free.
Yes, the time you spend in the waiting room might be a bit long some days, but it is worth every minute of the wait. They give each patient the time they need to explain their problems and feelings to the Dr. about their case, as well as the time it takes for the Dr. to explain their findings to you, over and over again until you as the patient understand the situation. No, these guys are the best!!! Eloy makes you laugh when you feel like you just can't ever again, bless his heart.
My surgery was on a Sunday and I could only wonder about their families and the time spent away from them, and feel even more grateful for their attentions and what time do these guys sleep?
All I will ever be able to say about either of them or their staff, is that they are great people, highly qualified in their field, but more than that, they still maintain that most important quality...that warm human quality.
They are not in this for the money, but for the people, and you can feel it in the room the minute they walk in and they LOVE a challenge! Don't tell them it can't be done because they will try their best to find the way to do it. They have all of the latest cutting edge techniques down pat.
I would never hesitate to recommend these Drs. to anyone that I felt might benefit from their knowledge
and expertise.
I will personally be eternally grateful, as will my family.
If loyalty counts, you have my vote!
-by Randi
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I would like to Thank DR. Steven Cyr, Eloy Castaneda, and the entire Staff at Spine & Orthopaedic Institute for the First Class Care and Professionalism they provided to me and my family. I believe God led them in the medical field for their willingness to help people, and to see thier patients live a pain free life. I Truly feel Dr.Cyr and Eloy Castaneda cared personally about how I felt, and what would be best for me. Never once did they come off as being an uptight rude person. With all the stress a physician usually encounters and all the long hours they put in, and time away from thier loved ones, They still showed the passion of wanting to comfort our worries. For this yall will always will be in my heart and prayers. May God Bless each and every one of you for all that yall do. Dr Steven J. Cyr and Eloy Castaneda Are the best spine and orthopedic surgeons in san antonio,tx....a special thanks to your families for supporting yall at what yall do!!!! cc: j.j. guerra. Poteet tx
-by J.J. Guerra
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Dr. Cyr and his entire staff gave my wife exceptional care from start to finish! I can't say enough about their knowledge of the profession and their wonderful bedside manner! Our nerves and fears were calmed and her surgery went extremely smooth. I would highly recommend Dr. Cyr to anyone having orthopedic trouble. His care and knowledge is amazing! He is definitely one of the top in his profession! A million THANKS to Dr. Cyr, Eloy, and the entire Spine and Orthopedic Staff!!!
-by Ray A.
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Mayo Clinic or no Mayo Clinic, Dr. Cyr is one of the finest physician’s I have been blessed to know! I'm no family member nor am I staff. I am an actual patient. A patient whom a doctor (Dr. M) threw away like yesterdays newspaper. Call it slander if you will but I call it being totally disabled at the age of 36. Dr. M sliced and diced my back 8 times. Every time looking into my naive eyes and saying to me and I quote "if I didn't believe this was the best thing for you I wouldn't have even brought it up". I've got witnesses!
After my 8th procedure, I awoke to terrible pain in the left thigh and leg more so even then the actual surgical area. I was told the pain would go away by Dr. M and was sent home by another physician whom I don’t believe I had ever met after 3 days. Dr. M wasn't on call after all it was the weekend!
A few months later, two I believe I receive a letter from Dr. M telling me he was no longer going to see Workers Comp. patients but he was going to refer me to a fellow co-worker who would take care of me. Not to be!!!! Everyone I was sent to eventually send me packing. An injury this old, 1991 to be exact, was too old and Dr. M had done too much to me. I recall on of "his fellow co-worker" saying to me 8 surgeries is 7too many for me to help you out at this point, and I don't see why Dr. M thinks anyone will take this case.
After years of suffering with tremendous pain and finding no one to help me I was told about Dr. Cyr. Though he couldn’t be my treating doctor because of his devotion to his country I had finally found a sympathetic ear. We followed each other for 2 year finally to have him see me as his patient through referral from my awesome and also sympathetic treating doctor Dr. Efrem Castillo.
By this time I had "severe iatrogenic scoliosis at L1-2 measuring approximately 25 degrees w/convexity to the left, flat back deformity and multiple disc collapse! I never had scoliosis before this. I know what it is and don't consider myself ignorant enough to not have known so.
Now I can only ambulate with a walker, take Morphine as well as many other Narcotics just for daily living. Note this is the way I came to Dr. Cyr after all that Dr. M had done to me.All this is well documented in my op. report. By the way the operation Dr. Cyr did took several hours and as much as I would have loved for it to have taken only 2 to 3 hours as had all my 8 previous surgeries I don't think it was possible at this point! Oh and by the way come to find out that I have an Avulsed L4 nerve and several lacerated root sleeves. This was never mentioned to me by Dr. M nor is it in they copy of my op. report, the last one he did when I woke up with all that left leg pain. Oh well call it a case of Bad Luck if you will or was it a case of Bad Doctoring? Neither Dr. Cyr nor any of his staff have to bad-mouth anyone about my case, I HAVE PLENTY TO SAY! Well all being said and done I have a much straighter back thanks to Dr. Cyr and Elloy Castaneda. I'm still not able to ambulate without a walker but it isn't like you can superglue and avulsed nerve together now can you? I will always have to take Narcotics for this problem.
At least I now know what happened to me. I also know that I have finally met a doctor who cares about his patients and not so much about monetary gain.
-by LD
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I thank you VERY much from the bottom of my heart your kindness, your encouragement & your professionalism. I came into your office with very little hope and you all took the time to talk me through and explain my films in detail to my understanding & knew before the films returned what the problem was.
Dr. Cyr, I appauld you and your staff in sceduling my appointments & my pre-op, surgery, and Post-op visit. I knew at the hospital & even more so at the 6 wk post-op visit that you all were a God sent. I saw the x-ray and how well tings were fused and time & care you provided to explain the same. My previous two fusions, I knew w/o being a doctor were not working. My first was in 2005 & second 2006 and never did I have the confidence in the surgery working like I have with you.
I imagine your ears are constantly ringing, because I tell everyone I see (whether I know them or not) that what the "other" so called nuero-surgeon couldn't do in 4 years and two surgeries & many intervention in between, you accoplished in 6 weeks through surgery.
My greatest gratitude to you. I will recommend you to anyone with any type of spinal injury. In fact, I have had one person that I recommened to you, already had her 1st appt and shares my same feelings.
The best to you and your endeavors. I actually knew you were a God sent because I pick you out of the phone book because of your address (Spurs Lane), and I love my Spurs. However, little did I know loving my Spurs would bring such a blessing. Thanks again.
-by ddliva
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I wanted to post a review for Dr. Cyr and Eloy Castaneda Dr. Niilson and the staff at the Spine & Orthopaedic Institute. I have suffered from migraines for over 8 years. I have been on every drug known including depression meds, anxiety meds, muscle relaxers, and numerous more with no relief.
On my first visit in comes Eloy with a smile so bright and twinkling eyes and stated don't worry we will find out what is wrong and we will make you better... On my second or so visit I met with Eloy and Dr. Steven Cyr, wow, what could I say but I know you will help me.....I have been migraine free for months now, I think the ease and the attitude of the staff allows patients to go in and for once not feel stressed out.........
I have and will recommend Eloy and Dr. Cyr to my friends or even people on the street. For once I have met a medical staff who cares about you not the almighty $$$$$$$$....I appreciate the care you have given not only myself but my sister.. to Eloy, Dr. Cyr, Stephanie, Norma, Jennifer, Mannie and Bryan!! Thanks and all my love to you all!
-by linda w
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I wanted to leave a few words about my medical care at SA Spine and Orthopedic Clinic!! I have not had the pleasure of meeting Dr. Cyr yet but have had nothing but the best of care under Eloy Castaneda! The very first thing you notice about him is his smile and his genuine care for you as his patient! He unlike most physicians actually sat and listened to my descriptions of my injuries and pain after a MVA. I had gone through months of physical therapy, which was a waste of time, co pays and insurance money (my opinion of course). He right away had xrays ordered and determined that i indeed had an injury that no one else took the time to try and identify! He's always available for consult, always shows genuine interest and desire to help his patients. His office staff has the same great attitudes. Nothing like walking into an office where they see hundreds of patients, and they call you by name..every single time! I actually look forward to going to my appointments with Eloy! You leave there with a pep in your step! Don't let what one nasty person sway you from getting the best spine or orthpaedic care thats available to you ; either with Eloy, Dr. Cyr or Dr. Niilson. You wont be disappointed! I have the uptmost respect and appreciation for your concern and are Eloy, Stephanie, Norma, Jennifer,Mannie and Bryan!! Thanks and love to you all! CH
-by hack62
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Just want to send you a BIG THANK YOU for all that you have done for Don and me. You’ve gone beyond the call of duty to ensure that Don has received beyond the best care and an excellent outcome. I don’t know how else to thank you besides the best way that I know; and that is telling you all thank you from my heart and soul. You’re truly God Sent and Angels.
Dr. Cyr (Steven) the hands and mind that God gave you have touched Don and our lives. Because of you he will be once again able to administer to animals. By doing this we will be able to finally open our petting farm which will be used to help children and adults with disabilities. We also want to thank your wife and kids for the time that you are away from them to care for your patients (extended family). There have been several times that you spent more time with us than you did with your immediate family.
Eloy your attitude is great and your smile and words can warm the heart. I’m glad that Don is out of the hospital the only thing I miss about the hospital is the talks that we had and the comfort you were able to provide to me during Don’s hospital stay. The numerous hours you spent with us will not be forgotten. Stephanie, Meowy and Fraidy are lucky to have you in their lives.
Janivee thank you for taking your job so seriously and going the extra miles to Don and I had everything in order. Without your diligence Don wouldn’t have gotten so far.
Jennifer, Norma and Manny thanks for your support and all the time you’ve spent with us.
Brian how can anyone forget Brian. You’re NUTS and we love you for it. Seeing Don laughing on 2/29/08 almost brought tears to my eyes. You know how long he was in tremendous pain and just wasn’t a happy camper. Your antics are just what Don needed.
Thanks again so much. God has touched each of you in such a special way.
-by don.abram92
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I heartedly recommend the medical office of San Antonio Spine & Orthopedic
Institute. I can do this, with conviction, because I was successfully treated for a
serious lower spine injury. Initially, my injury was misdiagnosed and incorrectly
treated by a local ‘occupational injury clinic’, which lead to further injury. Upon
discovery, they immediately referred me to San Antonio Spine & Orthopedic
Institute. My first visit convinced me that I was in the right place: Dr Castenada
straight away knew, by the symptoms I described, what the problem was. He sent
me for a MRI, which exactly confirmed his diagnosis. From that point forward I
confidently knew I was going to get the best possible medical treatment for the
injury. Walking, standing or lying down, for prolonged periods, prior to surgery
was impossible. Now, 10 months post surgery, I am almost back to the person I
was before the injury. My recovery rate has been far faster than the established
estimates for my type of injury. I attribute this success to the technical skills of
Dr Steven Cyr. Additionally, intangibles such as dedication, compassion,
commitment, understanding and communication, for both the patient and their
family are unexcelled. These accolades are not limited to the Doctors, but also
include the support staff of the Institute. I am a very appreciative man.
-by yahoo user
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I would like to speak in behalf of dr.cyr i never met a doctor that cares so much for his patients like he does. God blessed im with a great gift!and dr.cyr usesthat gift to give others a better chances in life.back in sept 2007 i had a three level fusion dr.cyr took the time and spoke to each of my family members and explained the difficult sugery.all my family embraced dr.cyr and put their faith in god,that a moment i will never forget dr.cyr told me i will not let anything happen to you.you are part of our family what doctor tearts you like a family member,not many now a days.so how dare any one put him down he is an angel that is doing god's work.he has mine and my family respect and blessing.i would trust him with my life again!thank you dr.cyr.eloy and all your staff i wouldn't have made it without you all!i will be praying for you keep doing the work god wants you to do.
-by MERIDA CHARLES
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Have had only two visits with this facility. being a very depressed person, eloy was able to make me laughl,even if it was for a while!
The staff there is great, every time i call or go in for an appt, im greeted with a smile. there should more people like that in this profession,
-by ANGELINA MARINEZ
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Dr. Steven Cyr, Eloy, Stephanie, Jennifer, Norma, Brian, etc. are great. We have never felt this way about a doctor before. We do have favorites and doctors we would recommend; but, none of them is even close to how we feel about Dr. Cyr. When you listen to the recorded message on his phone it states that they treat you like family. Well, I thought about this. They treated us better than family. A family you can't choose, friends you can. We feel that the lord has sent a us a friend. This friends was given the gift and talent to change people’s lives. He is part angel, part magician. Other doctors didn't want to even attempt the difficult surgery; they also didn't even look at test to determine that without surgery my husband would be crippled. Dr. Cyr and Eloy noticed this immediately. They also told us what to watch for. My husband started having some of the symptoms that were discussed with us. Turned out his first surgery was an emergency. Dr. Cyr and Eloy arranged to have the surgery performed on a weekend. They assembled all the staff at the hospital and made sure he was cared for in the most stringent way. Did I mention he is an angel? If you need to consult about any Spine or Orthopedic issue I wouldn't proceed without first meeting Dr. Cyr and his team. Oh yeah, my husband is doing much better and is awaiting his second surgery which will not be as complicated as the first. (Still is risky.) We trust this man so much. Another thing is Dr. Cyr's brother Mike is also an outstanding individual. He handles medical equipment. Mike knew that we needed the equipment and it was close to a holiday. The company that our insurance covers couldn't be reached due to holidays. You know what Mike did. He left his and Steven's mother’s birthday party and drove to our house with the equipment my husband needed. The are angels and Dr. Cyr and Eloy are two of them.
-by Judy
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This is a great doctor. I wouldn't trust anyone else with my husband's care. His staff was very helpful and friendly.
-by a Yahoo! Local User
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Dr. Cyr, i have never met a doctor that took so much time with his patients like you and Eloy do. You both made me feel relaxed and confident that I was going to be taken care of. When I was facing a very long and major surgery you took the time to explain every detail, risk and advantage to me and my family. You knew I was scared and not real sure what to do but, with your explaination I had no doubt that this was going to be the right thing to do. When I had my first visit to your office both of you said that you would treat me like family and that has been exactly how I have felt the entire time. I am almost 3 months out from my surgery. I am still having some problems and I know I have a VERY long rode still ahead but, I know that the both of you will walk me through every step along the way and along with both of you and your staff I know I will be 100% one of these days. Thank you all, I know I could not have done this without you. God has blessed all of you with a very special gift and any patient would be lucky to have a physician like you!! Love you all!!!!!
-by jburtonmarion
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Dr. Cyr, miracle worker: I have has back pain and terrible migraines forn ten years. I have been to many doctors and spinal surgeons who have all dismissed me. Dr. Cyr and staff took one look at my MRI's and spotted the problem. I am 4 months out of surgery and am doing great. Thank you!
-by Lee K
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I too have had terrible migraines for years with persistent neck pain all other doctors told me it was due to stress and just gave me all sorts of medications. After visiting with Eloy one afternoon about a herniated disk in my lower back I happened to mention my symptoms to him. He immediately sent me for an MRI of my neck and found that I have 2 herniated disks in my neck. Thank you Eloy for taking the time to actually perform tests before assuming my headaches and neck pain were due to a common ailment andnot treating me as other doctors have by treating me like I was making my symptoms up or exaggerating them.
-by Monica E