CYRx MD

CYRx MD

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Dr Steven Cyr / Combined Fellowship in Neurosurgery / Orthopedic Surgery of the Spine
☎️(210) 487-7463 (HTX & SATX)
🔗cyrmd.com
Author, CutthroatBook.com

07/17/2026

🚨 Healthcare Policy Shift: A Step Toward Patient-First Care

RFK Jr. recently highlighted what supporters are calling a groundbreaking change: new CMS (Centers for Medicare & Medicaid Services) guidance that allows doctors to be compensated for helping patients safely come off unnecessary medications.

For too long, parts of our system rewarded volume of prescriptions over thoughtful, individualized care. This aims to flip the script — supporting time spent on medication reviews, safe tapering, patient education, and prioritizing root-cause solutions (movement, lifestyle, therapy, and addressing the “why” behind symptoms) when appropriate.

As a spine surgeon, I see many patients on multiple medications for pain and related conditions. Some are essential. Others can contribute to side effects, dependency risks, interactions, or mask underlying biomechanical or inflammatory issues. Optimizing regimens is part of real comprehensive care.

This is meaningful progress toward putting patients over prescriptions.

- Dr Steven Cyr | Orthopedic Spine Surgeon | 📍Houston and San Antonio

Have you or someone you love successfully deprescribed a medication, or struggled with too many? What helped or what concerns remain? Share in the comments — your experiences can help others.

07/16/2026

The 6 most expensive surgeries in America are all transplants — with price tags most people can’t even imagine before insurance.

Heart. Liver. Bone marrow. Double lung. Intestinal. Pancreas. (All transplant surgeries)

Complex procedures like these require elite surgical teams, scarce donor organs, and lifelong follow-up care. That’s why the costs are so high.

Which number shocked you the most? Drop it below 👇

Save this for the next time you talk to your doctor about a major procedure.

07/16/2026

Dear younger me,

I’m sorry I made you study for 8 years, and then train for 8 more.

I’m sorry I made you miss your 20s — and miss sleep, family, friends, and connection.

I hope you can see it clearly now…
It was never about taking the easy road.

It was about becoming the person I’m proud of today — the surgeon who gets to stand in the OR, restore hope, and give people their lives back.

- Dr Steven Cyr | Orthopedic Spine Surgeon | 📍Houston and San Antonio

To anyone still in the middle of the grind: your future self is already grateful.

What would you tell your younger self right now? Drop it below 👇

07/16/2026

Q&A with Board-Certified Orthopedic Spine Surgeon, Dr Steven Cyr:

Doc, do you feel that prayer actually works before surgery?

07/15/2026

🩺 The Anesthesia Machine: The Unsung Hero of Every Surgery

This sophisticated workstation does far more than deliver “sleeping gas.” It precisely controls oxygen and anesthetic delivery, supports breathing, monitors the patient in real time, and protects the entire OR team.

Key Components & Functions:

• Oxygen Source – Reliable O₂ supply
• Flowmeters – Precise gas flow control
• Vaporizer – Converts liquid anesthetic into controlled v***r
• Breathing Circuit – Delivers gases safely to the patient
• Ventilator + Reservoir Bag – Mechanical & manual ventilation support
• Monitoring System – Continuous vital signs & respiratory data
• Scavenging System – Removes excess anesthetic gases from the OR

Gas Flow Pathway:

Oxygen Source → Flowmeter → Vaporizer → Breathing Circuit → Patient

Whether it’s a complex spine procedure or any surgical case, this machine is essential for keeping patients stable, safe, and comfortable from start to finish.

Which component surprises you most? Drop it in the comments 👇

Full breakdown in the image above 👀

07/15/2026

Doctoral-level careers full of purpose… but the paycheck often tells a different story 😔

Here are 8 respected healthcare professions ranked from lowest to highest national median salary:

1. Audiologist (AuD) — $92,120�Help people hear and balance better. Massive quality-of-life impact and rewarding patient relationships. Reality: Lower median in the doctoral group with real student debt and big pay variation by setting.

2. Clinical Psychologist (PsyD/PhD) — $94,310�Deep mental health work — therapy, trauma, anxiety, and depression care. Incredibly meaningful. Reality: High emotional labor + significant debt. Insurance reimbursement often limits earnings.

3. Occupational Therapist (OTD) — $98,340�Help patients regain independence in daily life after injury or illness. Extremely fulfilling. Reality: Similar debt-to-pay story as PT. Many love the work but feel the financial return is modest.

4. Physical Therapist (DPT) — $101,020�Restore movement, reduce pain, and get people back to life and sport. Reality: Strong purpose, but high debt ($150k–$200k+) and new-grad pay that doesn’t always match the doctorate requirement.

5. Veterinarian (DVM) — $125,510�Care for animals + emotional support for owners. A true passion project for most. Reality: Often high debt ($200k–$300k+) relative to pay, especially in general practice.

6. Optometrist (OD) — $134,830�Primary eye care, vision correction, and disease detection. Great lifestyle for many. Reality: Solid median, but still a doctorate with meaningful (not surgical-level) compensation.

7. Pharmacist (PharmD) — $137,480�Medication experts who counsel patients and catch dangerous interactions. Reality: Retail and corporate settings have driven burnout and slower pay growth despite heavy debt loads.

8. Podiatrist (DPM) — $152,800�Foot, ankle, and lower extremity care (including surgery for many). Highest earner on this list. Reality: Still requires a doctorate + residency, but pay better reflects the procedural work.

Salaries are national medians and vary widely by location, experience, and practice setting. Student debt is significant across most of these fields.

Which one surprised you most? Did you ever consider any of these paths? Drop your thoughts below 👇

07/15/2026

UPDATE: 5-Level Cervical Fusion:
(One Year of Hope & Healing)

A year ago, this patient was exhausted, defeated, and holding on to her last bit of hope while facing the challenges of Ehlers-Danlos syndrome. Today, she’s living a life she once only dreamed of — and her story is a powerful reminder of what’s possible.

From the patient:

“A year ago, the life I’m living today felt impossible. I was exhausted, defeated, and holding on to my last bit of hope.

Ehlers-Danlos syndrome had taken so much from me, and I wasn’t sure I would ever get this version of myself back.

I’m forever grateful for SASpine, Dr. Cyr, his PA, the nurses, physical therapists, and my family and friends who walked this journey with me. Because of them - and because of God’s faithfulness — I get to celebrate a milestone I once only dreamed about.

One year down. A lifetime ahead.” ~M. Moncus

We are deeply moved by her strength and resilience. Her journey is a powerful reminder that healing is possible — even after complex spine surgery and with Ehlers-Danlos syndrome.

If you or someone you love is facing spine challenges or an EDS diagnosis, please know there is hope.

— SASpine | Board-Certified Orthopedic Spine Surgeon | Dr. Steven Cyr | 📍Houston & San Antonio

07/15/2026

After more than 20 years carrying the weight of patients' spines - and their hopes — one question still lingers in medicine:

Do great surgeons have a "God complex"?

l've seen both sides up close.
Some surgeons move through the OR like they're untouchable. They rarely ask for help. They dismiss the team. When things go wrong, the blame always belongs to someone else. That kind of ego doesn't just poison the room — it can quietly put patients at risk.

I've also come to understand why this mindset can take root. The intense, hierarchical pressure of medical school and residency rewards swift answers and absolute authority, which over time can harden into an unhealthy belief in one's own superiority.

Furthermore, in some environments, exceptional technical skill can shield physicians from normal accountability, allowing ego and problematic behavior to flourish. And our culture has long elevated doctors to positions of near-absolute authority, which can quietly distort how some begin to see themselves.

But the surgeons who truly last and deliver the best outcomes carry the immense weight of their patients' struggles while staying kind and humble.

They remain willing to listen — to their patients, their teams, and their own limitations. They know the final decision rests with them, and they accept that responsibility without hesitation. They stay masters of their craft... but they are humble masters.

Confidence is required in the operating room.

Arrogance is dangerous.

The difference changes everything.

— Dr. Steven Cyr | Orthopedic Spine
Surgeon | 📍Houston and San Antonio

What's your experience — as a patient, a surgeon, or someone in healthcare?

07/14/2026

The highest compliment in medicine is when a patient says, “You were recommended to me.”

Trust isn’t built in the operating room. It’s built one patient, one conversation, and one honest outcome at a time.

In spine surgery, the scalpel is only part of the equation. The real work happens in the quiet moments — listening, explaining, and earning the kind of trust that people pass on to the ones they love.

To every patient who has ever recommended me: thank you. Your trust is the greatest honor.

- Dr. Steven Cyr | Orthopedic Spine
Surgeon | 📍San Antonio & Houston

If this resonates with you, drop a ❤️ or share your thoughts below.

07/14/2026

Most physicians are taught one path to income.

But in 2026, the highest earners in medicine are quietly building multiple streams — and some of these side opportunities are paying surprisingly well.

We break down the realistic earning ranges for 10 physician side income options in this Reel (locums, expert witness, device consulting, and more).

As a spine surgeon, I’ve seen colleagues use these to create more freedom, reduce burnout, and build wealth outside the OR.

- Dr. Steven Cyr | Orthopedic Spine Surgeon | 📍Houston and San Antonio

Which one are you most curious about? Drop it in the comments 👇

Save this for when you’re ready to explore what’s possible.

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