Siren Nurse Spotlight of Gabe Gallardo, LPN

Siren Nurse Spotlight: Gabe Gallardo, LPN

June 10, 2021

Gabe is a licensed practical nurse (LPN) who has experience working with at-risk populations. He previously oversaw and managed adult populations with substance abuse disorders. Gabe has a background in assisting Medicaid and Medicare members and has a detailed understanding of those patient populations and the ever-changing policies that they are subject to. Gabe resides in Salt Lake City, Utah with his wife and their German Shepherd. He enjoys traveling and spending time with friends and family.

"Siren Socks detected an issue on a patient's foot during her first month of wear. She had an ulcer, which could have led to serious complications. I notified her doctor right away, who was able to save the toe before it became infected."

Gabe became a nurse in order to make a difference in people's lives and to take on new challenges. He shares, "It is a privilege to be a nurse; nothing motivates me more than knowing that I’m making an impact in my patients' lives. My profession can be very challenging at times but it’s an honor to help take care of those in need."
Reflecting on his current role, Gabe says, "I enjoy being a Siren nurse because our team is incredibly supportive. We all want to see each other—as well as our patients—succeed. Everyone at Siren is focused on the same mission: to help diabetic foot patients get the best quality of care. It's exciting to be part of a team that is innovating in healthcare and technology for the benefit of helping others."

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can find a Siren-Certified Provider near them and begin the enrollment process by clicking here.

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Marc’s Diabetic Feet Beat Part 2: My Introduction to Diabetes

June 7, 2021

My Introduction to Diabetes

Foot fractures, ulcers, neuropathy and Charcot are not unique to diabetes. They are also not the only serious complications associated with the disease. In addition to foot problems, diabetes is a principal cause of kidney failure, high blood pressure, muscle fatigue, heart disease, stroke and loss of vision. Given my forty-year struggle with the disease, I am relatively fortunate. In addition to the problems that have threatened the loss of my left foot, I have Stage III (moderate) kidney disease, but have been spared serious heart and vision problems. My kidney function and condition of my feet were normal before I became diabetic. Both conditions worsened during the period that I recklessly failed to acknowledge the seriousness of the disease. However, as I discuss in later installments of my blog, over the last ten years, my kidney function stabilized and the incidence and severity of my foot problems improved through a combination of diligent glucose monitoring, comprehensive medical treatment and advanced technology. Had I continued along the path I had followed earlier, I would almost certainly be footless, on dialysis and possibly blind or -- worse, dead. My effort to help my readers preserve their limbs and avoid the other vicious complications of diabetes necessarily begins with a discussion of my experiences with the disease itself.

Diabetes Defined

There are two types of diabetes: Type I, sometimes referred to as “childhood” diabetes, and Type II, or “adult-onset” diabetes”. Broadly speaking, Type I diabetes is an autoimmune disease that is characterized by the inability of the pancreas to produce insulin in sufficient quantities to convert sugar to energy, while Type II is a disease in which excess body fat, poor diet, inadequate exercise and age interfere with the ability of the body’s cells to process the insulin the pancreas produces. Type I generally requires injections of insulin to replace the body’s natural production, while Type II can often be controlled with dietary changes, weight loss, increased activity and various oral medication. In severe cases, insulin injections may also be necessary. The causes of Type I diabetes have not been firmly determined but are thought to result from both genetic and environmental factors and/or a virus.

My Life Before Diabetes

I was a chubby kid and loved to eat. (That hasn’t changed). My first thirty-six years were marked by a repeated sequence of heavy eating and binge dieting. See a pizza, devour it! See an attractive girl, diet! My dieting was uniformly motivated by vanity rather than health. My life in athletics was likewise wanting. My caring parents tried to interest me in athletics, to no avail: swimming, boxing, little league baseball, even Judo. (Judo was short-lived. At age eight, I threw my father across the living room and sprained his back). My parents then sent me to an athletic day camp. My only “A” was in eating lunch. Really!
When I entered high school, I was 220 pounds. I stopped eating and lost 40 pounds. By the time I graduated, I was back to 220. When I was 26, I topped out at 308 pounds. I went to a “bariatric specialist”, who gave me daily injections of human chorionic gonadatropin (“HCG”, since banned by the FDA) derived from the urine of pregnant women. The injections, along with a 600 calorie/day diet consisting of a three-ounce portion of boiled chicken or fish and an undressed salad twice daily, enabled me to lose 140 pounds in six months. After fluctuating within a 20 to 30-pound range over a ten-year period, I crept back to 240. I enrolled in a hospital-supervised “protein sparing” fast, consisting of six 100-calorie protein powder shakes a day, weekly blood tests and group “behavioral modification” sessions. The week before I started, I noticed that I was consuming large amounts of water, followed by excessive urination: unbeknownst to me at the time, a common symptom and precursor of diabetes. During my first visit to the weight clinic, the doctor casually told me that he assumed I was on the diet to treat my diabetes. Diabetes?!! What diabetes??! My blood sugar registered 306 (normal is 80-110).

Prior to age 36, my health was generally unremarkable and periodic blood glucose readings were normal. Alarmed by the diagnosis, I promptly consulted with my internist. Given my biological age, weighty eating habits and athletic deficiencies, he concluded that I had Type II diabetes. He suggested that I remain on the weight loss program and monitor my blood glucose. After three months and a 25-pound loss, my glucose levels returned to normal. Unfortunately, the success was short-lived. A few months later, my glucose readings spiked. The doctor prescribed Metformin, a still-used diabetic control medication invented in 1922. The medication failed to work. I consulted an endocrinologist, who reviewed my history and concluded that I was a (late-blooming, I guess) Type I diabetic. (He referred to the brief period that my blood sugars were normal following the diet as a “honeymoon period”, a common but fleeting condition following rapid weight loss at the onset of diabetes). Interestingly, there is no history of the disease in my family and no doctor has ever been able to account for why I got it. Although it is uninformed by anything I have heard or read on the subject, my theory is that my protracted history of binge eating and starvation diets taxed my pancreas to the point that it was no longer able to produce insulin.

Next time: Careless behavior produces bad outcomes

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can find a Siren-Certified Provider near them and begin the enrollment process by clicking here.

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Nurse Spotlight Raelene Ramirez LPN

Nurse Spotlight: Raelene Ramirez, LPN

June 3, 2021

Raelene is an LVN with a medical background of 4 years. She has experience on medical surgical units, where she worked closely with disabled veterans. Raelene has also cared for the geriatric population as a charge nurse in a skilled nursing and rehab facility. She is known for her compassion and dedication to her patients. A true team player, Raelene is always ready and eager to learn. She recently moved to San Antonio with her family and enjoys outdoors activities, as well as playing musical instruments.

"I was on the phone with a new patient who told me right away how much he enjoys wearing Siren Socks—that they are the most comfortable socks he's ever worn and he appreciates that they help ensure his feet are healthy. This is how I know we're doing right by our patients!"

Raelene has worked with many different patients in a variety of settings. Her experiences have shown her the powerful impact that preventative measures can have in the quality of life of patients. She shares, "To hear my patients say that they appreciate their Siren Nurse brings me joy. I was once providing post-op care for patients with amputations. To be a part of a team that provides preventative measures reminds me every day of how much we truly do make a difference and save lives."

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can find a Siren-Certified Provider near them and begin the enrollment process by clicking here.

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Provider Spotlight – LaWanna Monday Harden, DPM, Lithonia, GA

May 23, 2021

Dr. Monday-Harden is a native of Eatonton, Georgia. She graduated with honors from Putnam County High School earning a four-year basketball scholarship to Augusta State University where she received a B.S. in Biology. She graduated at the top of her class and earned the distinction of the university’s all-time leading scorer in women’s basketball. Dr. Monday-Harden earned her doctorate at Ohio College of Podiatric Medicine where she received the Samuel N. Ulevitch Dermatologic Award for her academic achievements. She completed a three-year surgical residency at the Atlanta Veterans Affairs Medical Center in Decatur, GA serving as Chief Resident in her final year. She is currently a surgical instructor for podiatric residents at the Atlanta Center for Foot and Ankle Surgery in Sandy Springs.

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Dr. Monday-Harden’s special interests are advanced diabetic limb salvage and sports medicine. As a sports enthusiast involved in running and basketball, she understands the foot and ankle healthcare concerns of athletes and active adults. She is an active lecturer and podiatric resource for hospital-based Diabetic Resource Centers in the metro Atlanta area. In addition to being a dedicated physician to her patients, Dr. Monday-Harden is married and the mother of two young sons. She and her family currently reside in Covington.

Interested patients can learn about Dr. Monday-Harden's approach with Siren Socks and begin the enrollment process by clicking here.

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can find a Siren-Certified Provider near them and begin the enrollment process by clicking here.

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Brenda Prentiss LPN

Nurse Spotlight: Brenda Prentiss, LPN

May 20, 2021

Brenda Prentiss is an LVN with over seven years of experience. She started her medical career as a CNA/unit secretary and quickly learned she was meant to do nursing. Her background includes family medicine, internal medicine, UC, physical therapy, and most recently chronic care management. She resides in Royse City, Texas with her fiancé and his 17-year-old sister. In her spare time Brenda loves woodworking and other crafts. She is excited to be a part of Siren and looks forward to helping as many patients as possible!

"One of my patients was suffering unbearable pain. I helped get her doctor's appointment rescheduled a week earlier by sending the provider pictures and a detailed description of the patient's symptoms. Her gratitude embodies why I love this job!"

One of Brenda's inspirations for becoming a nurse was Jane Delano, an early pioneer of the profession who founded the American Red Cross Nursing Service in the early 1900s. Brenda's favorite quote of Delano's is, "Nursing is not alone caring for the sick, the prevention of infection often constitutes as important a duty as the actual care of the patient. A woman who is without knowledge of the principles which should guide the performance of her work holds in her hands a capacity for doing infinite harm; she cannot avoid dangers in which she does not recognize."

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can find a Siren-Certified Provider near them and begin the enrollment process by clicking here.

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Provider Spotlight – Carolyn McAloon, DPM, Castro Valley, CA

May 10, 2021

Carolyn McAloon, DPM, is a board-certified podiatrist at the Castro Valley and Pleasanton, California, locations of Bay Area Foot Care. She is also a fellow of the American College of Foot and Ankle Surgeons and a passionate care provider. Patients and colleagues alike note her continuous pursuit of improvements in the modes and quality of care that she provides.

Dr. McAloon completed requirements for the pre-medicine program and earned her Bachelor of Arts in psychology from the University of California, Berkeley. She uses her background in psychology to provide compassionate, understanding attention to her patients.

After finishing her undergraduate education in 1991, she attended the California School of Podiatric Medicine at Samuel Merritt University in Oakland. She went on to complete surgical training with a residency at the Veteran’s Hospital in Palo Alto, California.

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Soon after finishing her formal education and training, Dr. McAloon started working in private practice in Castro Valley and opened a second location in Dublin, California, in 2008. From 2014-2015, she served as president of the California Podiatric Medical Association.

Today, she continues to use her expertise to advance the next generation of podiatrists. She mentors pre-med students and podiatric medical students at the California School of Podiatric Medicine.

Dr. McAloon’s dedication to her work is clear. Her main objective is to help patients live an active lifestyle and overcome the foot pain that’s holding them back.

Interested patients can learn about Dr. McAloon's approach with Siren Socks and begin the enrollment process by clicking here.

About Siren Socks

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

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Provider Spotlight – Gavin Ripp, DPM, Carmichael, CA

April 26, 2021

Dr. Gavin Ripp joined the practice in 2014. He received his bachelor’s degree in Economics at Brigham Young University in Provo, UT. While at BYU, he had additional studies in Spanish and Portuguese. After college, Dr. Gavin Ripp obtained his doctorate of Podiatric Medicine from Des Moines University, where he graduated in the top 10 of his class and was president of the local chapter of the Pi Delta National Honor Society.

He completed a three-year surgical residency program at Swedish Medical Center in Seattle, WA. It has long been considered one of the elite foot and ankle training programs in the U.S. During this time, he worked with some of the top foot and ankle surgeons in the country, including both the orthopedic and podiatric communities.

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In addition to routine foot and ankle training, he has received advanced training in:
- Microneurovascular Surgical Training in San Francisco, CA, at the M.O.E.T Institute
- Arthroscopy of the Foot and Ankle at the Orthopedic Learning Center in Chicago, IL
- External Fixation of the Lower Extremity at the Orthofix Institute in Dallas, TX
- Foot and Ankle Reconstruction and Traumatology at Kaiser Permanente in San Francisco, CA
- Total Ankle Replacements in Seattle, WA, and in San Francisco, CA

Dr. Gavin Ripp enjoys treating all aspects of the foot and ankle. Special interests include reconstructive lower extremity surgery, sports medicine, and pediatrics. He is a member of the American Podiatric Medical Association and the American College of Foot and Ankle Surgeons.

He is married with three children, and is an avid sports fan who loves the outdoors. Born in Texas, he has a passion for BBQ and football.

Siren Socks are innovative smart socks that detect potential issues with your feet. Siren Socks are an FDA-registered Class I medical device and are for people with neuropathy.

The socks measure your foot temperature. Temperature monitoring has been shown to help prevent diabetic foot ulcers in multiple clinical studies clinical studies over the past 20 years and is considered the gold standard in diabetic foot care.

The information from the socks is monitored by licensed nurses who contact you regularly to check on your health and the status of your feet. Your doctor review any issues that arise and determine if a clinic visit is necessary.

Siren Socks are covered by Medicare, Medicare Advantage, and many private insurance plans.

Interested patients can learn about Dr. Ripp's approach with Siren Socks and begin the enrollment process by clicking here.

Newsletter

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Provider Spotlight – Jacob Reinkraut, DPM, FAFCAS, Ridgewood, NJ

April 11, 2021

This month we are talking to Dr. Jacob Reinkraut, DPM, FACFAS. Dr. Reinkraut practices in at Complete Foot & Ankle in New Jersey.

Jacob Reinkraut, DPM, FACFAS is a Bergen County native, who opened his private practice in familiar territory. He helps the people of Ridgewood, New Jersey, get back on their feet at Complete Foot and Ankle. Dr. Reinkraut or as his calls himself “Jake” is a physician who is known by his patients to be compassionate and caring because he believes that the patient’s well-being always comes first, and he treats every patient like family.

Dr. Reinkraut earned his undergraduate degree from Muhlenberg College and received his doctorate from the New York College of Podiatric Medicine. Following medical school, Dr. Jacob Reinkraut completed his surgical residency at St. Michael’s Medical Center, serving as Chief Resident. Then, to finish his medical training, he earned his board certification from the American College of Foot and Ankle Surgeons. Dr. Reinkraut’s expert medical and surgical training allows him to diagnose and treat foot and ankle disorders using the most advanced techniques. Because of his training, Dr Reinkraut treats all age groups starting with pediatric patients to adults.

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Interested patients can learn about Dr. Reinkraut's approach and begin the enrollment process by clicking here.

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Siren Socks next step in foot care

Siren Announces First Fully Integrated Remote Patient Monitoring Solution in Podiatry

Siren Socks monitoring device combines with nursing support staff

February 27, 2021

Siren, a health technology company that pioneered the development of microsensor-embedded textiles for medical applications, announced that it is augmenting its Siren Socks product offering by launching Siren Staffing, a remote patient monitoring (RPM) program. Initial customers include StrideCare and Village Podiatry Centers.

Siren Socks continuously track foot temperature and were developed to help patients living with diabetes manage their foot health more effectively. Temperature monitoring has been clinically established as an important physiologic marker of injury and is recommended as a tool to detect and prevent diabetic foot ulcers (DFUs). DFUs occur in 25% of people with diabetes, accounting for over $43 billion in annual healthcare costs in the U.S., and are the leading cause of amputations.

Siren Staffing builds on the benefits of Siren Socks by utilizing licensed practical nurses to coordinate RPM activities with podiatric practices. Program nurses monitor temperature data collected by Siren Socks and contact patients who may be at risk of developing injuries to evaluate the status of their feet.

“With Siren Staffing, we now offer the first fully integrated remote patient monitoring solution in podiatry,” said Ran Ma, Siren co-founder and CEO. “We have combined an easy to use monitoring device, continuous data recording and analysis using proprietary algorithms, and a staff of trained nurses into a cohesive, end-to-end offering that allows any podiatric practice to successfully implement RPM and help patients avoid complications arising from foot ulcers."

“Implementing Siren Staffing has made my practice more efficient and effective” said Dr. Gavin Ripp, DPM, of Premier Podiatry & Orthopedics in Northern California. “The team works closely together to monitor patients and coordinate care with our systems. The result is that I am able to quickly act with greater information. This comprehensive solution allows us to monitor more patients to detect signs of inflammation and injury earlier and intervene effectively.”

About Siren

Siren is a health technology company that uses novel medical devices and remote patient monitoring to improve patient outcomes. The company developed Neurofabric, the first of its kind microsensor-embedded textile, to enable a new type of medical devices. These devices integrate seamlessly into users' everyday lives and allow patients and doctors to make more accurate, real-time treatment decisions. Siren Socks, the company's first commercialized product, is an FDA-registered temperature monitoring sock for the early detection of inflammation that leads to foot ulcers in people with diabetes. Siren was founded in 2015 and is backed by top-tier institutional investors, including Khosla Ventures, Founders Fund, DCM Ventures, and others. More about the company at https://siren.care.

About Premier Podiatry & Orthopedics

Premier Podiatry & Orthopedics is a multispeciality practice of expert podiatric and orthopedic physicians based in North California with office locations in Roseville and Carmichael. Learn more at https://pposac.com.

Media Contact

Mohan Nathan
Email: [email protected]

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