Kiger's Notebook

Rochester founder says Tenex is growing quickly

When pro basketball player Pau Gasol of the L.A. Lakers needed damaged tendons in his knee removed this week, his doctor opted for a noninvasive treatment developed by Mayo Clinic instead of the traditional surgery option.

Gasol now is one of about 5,000 patients that have been treated with Tenex Health Inc.'s TX1 instrument, since the firm took its specialty needle system to market at the start of 2012.

Dr. Jagi Gill, of Rochester, founded Tenex in 2009, and it received approval from the Food and Drug Administration in 2011. Since then it has quickly been gaining traction and is now listing "multi-millions" in sales.

"We moved past the 'Will it work?' and 'Can we make it?' stages. Now we are building a sales team and working a marketing message," Gill said.

Tenex now is selling the system to doctors. The firm has 12 sales representatives, and he hopes to grow that number to 40 by the third quarter of 2013.

Gill began his career in Mayo Clinic's Department of Neurology. He has since worked at Boston Scientific as well as a number of biotechnology start-ups.

Tenex's one-time use, disposable handpiece was developed and commercialized in collaboration with Mayo Clinic. Tenex licenses technology from Mayo Clinic and in turn, Mayo owns equity in Tenex.

"The folks at Mayo have been very helpful," he said.

The TX1 system uses ultrasound technology to treat damaged tendons or soft tissue in elbows, knees, ankles, feet and shoulders. Unlike surgery, patients can walk out after what is often a procedure no longer than 20 minutes.

"It is well-tolerated and safe as an injection," says Gill.

That and the quick recovery are making Tenex very popular with athletes, people with work-related injuries and patients who simply "want to have an active lifestyle."

Gasol is not the only celebrity who has discovered Tenex. TV and radio personality Ryan Seacrest has also has his elbow treated with the TX1 system.

At one point, Tenex looked at Rochester, nearby Elk Run and even Willmar, Minn., as possible locations for a manufacturing facility. In the end, the decision was made to acquire the California company that handled the early manufacturing on a contract basis.

So why not do the manufacturing in Rochester?

"The challenge that any company would have in going here is that there isn't a lot of experience in terms of engineering, manufacturing, production, quality systems," says Gill.

He explained that medical device hotspots, not only have a medical system or university for generating ideas, but also "They have an imbedded group of people that know how to turn on an infrastructure."

Private Wealth mag: "Mayo Clinic Targets Ultra-Wealthy"

Here's some from an interesting article headlined "Mayo Clinic Targets Ultra-Wealthy" posted a couple of weeks ago by Private Wealth magazine. The piece was written by Raymond Fazzi.

The Mayo Clinic, one of the nation’s most prominent hospitals, is starting to flex its muscle in the field of medical concierge services for the wealthy.

The Rochester, Minn.-based hospital this year started to ramp up efforts to market its Preferred Response service—a membership program that provides medical transportation and emergency services all over the world—to business travelers, travel clubs for the wealthy and other segments of the ultra-affluent market. The expansion of Preferred Response comes three years after the hospital launched its Medallion program, a concierge medical service that devotes a team of doctors to its subscribers’ primary medical care needs.

The push comes at a time when some of the nation’s top hospitals are looking to the well-heeled to increase revenues and make greater use of their more expensive, high-tech medical capabilities. Johns Hopkins Hospital in Baltimore, for example, has offered a similar concierge transportation service for years.

“Prominent hospitals are looking at any ways they can to leverage expertise to generate revenue streams,” said Dr. Clayton T. Cowl, Preferred Response medical director. “Access [to medical care] is going to be the key.”

The drive to market Mayo Clinic Preferred Response to the wealthy is based heavily on the public’s desire for medical access. The program has been part of the Mayo Clinic for more than a decade, originally as a service for dealing with in-flight medical emergencies. The program has since grown more expansive, with the ability to coordinate care and transportation when members are facing a medical emergency far from home.
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“The idea is, we want to create a relationship—not just a doctor visit or two a year—no matter where you are in the world,” Cowl said.

Cutting The Line
As President Barack Obama’s health reforms start to kick in, bringing millions more people into the health system, increased waiting times for appointments and treatments are expected to become larger issues with patients.
The selling point for Preferred Response and other medical concierge services is that they allow those who can pay a premium to basically cut in line, according to industry experts.

“Ultimately, we’re in an era right now where lots more people are going to have insurance and the key I think is going to be access and connectivity,” Cowl said. “In a time of need, you don’t want to be fumbling around asking which of these 14 numbers I need to dial.”

The base membership fee for Preferred Response is $650 per year for individuals and $800 for families. The fee does not include hospital and doctors’ fees, according to a hospital spokesman.

With two around-the-clock medical teams, Preferred Response deals with emergencies throughout the world, ranging from instances where a subscriber fell down a flight of stairs in Turkey to another where a member suffered from a heart attack while vacationing in Cancun, Mexico. In one recent episode, a member suffered a punctured lung while on a bicycle tour in China. Preferred Response arranged for his treatment and transportation a few days later to the Mayo Clinic in Rochester, Cowl said. 

 

I remember when Mayo Clinic launched its relationship with NetJets back in 2003.

Mayo Clinic will now provide in-flight medical advice and assistance to people flying NetJets airlines.

The agreement, announced this week, gives NetJets employees and passengers access to Mayo Clinic support all day, every day. People on a NetJets flight can call a dedicated phone number to speak to a critical-care flight nurse or physician.

Additionally, all NetJets flight crews have received instruction in the use of special, Mayo Clinic-designed emergency medical supplies.

NetJets, based in New Jersey, is the largest provider of fractional aircraft ownership offerings in the world. NetJets currently manages 512 aircraft. This year, NetJets fractional aircraft owners will fly more than 250,000 flights to more than 140 different countries.

With weather warming, hot dog man to return to downtown

It feels as if the weather finally has taken a turn for the better and maybe, just maybe, the dogs of winter are leashed again for at least a few months.

That means it's time to start relishing the spring days in the Med City again.

And what better way to do that than with downtown Rochester's gem, Murph's Diamond Dogs. On Monday, Rick Murphy plans to roll out his cart and start serving hot dogs for the hungry packs hunting for a quick and tasty lunch.

Look for the genial Murphy with his ball cap and stainless steel cart at his usual spot in the Peace Plaza by O & B Shoes.

The Pine Island man and his cart have added flavor to downtown for eight years.

That means he has been around downtown longer than the University of Minnesota-Rochester, Sontes, Chester's, the Minnesota BioBusiness Center, 300 First, Social Ice, 318 Commons, Big Brad's, Hot Shots! and lots of other changes.

He was already selling dogs when people started saying "Rah-Rah" about Rochester.He was downtown long before it became "The Place To Be." He was here when DMC was just part of the name of an '80s rap group.

Quite simply, downtown is Murph's turf.

With sun shining and people buzzing around the plaza, it'll be good to have him back where he belongs.

Holiday to close the "runt" of SA C-store litter

It looks like the addition of Holiday gas stations to Rochester will mean the subtraction of a current station from the market.

The buzz going around South Broadway is that when Holiday takes ownership of the six SuperAmerica stations in Rochester on May 1, one of them will go dark.

Officials with Bloomington-based Holiday have not responded to inquiries about changes in the Med City. However, there is evidence to support this closing theory. Rochester building permits show that Holiday signs are going up at all of the Super America stations, except the one on South Broadway.

People in the neighborhood around the station say they are hearing the store is closing because it's the smallest in the batch. The 18-year-old Broadway station is 1,900 square feet. By comparison, SA's station on Second Street Southwest is about 1,500 square feet larger.

Of course, having a Kwik Trip station right next to the South Broadway SA probably didn't help its perceived viability.

If that station does go dark, it will be interesting to see what happens next. Holiday does have a history of selling its "surplus real estate," so there's a good chance that lot will go on the market.

For obvious reasons (see previous sentence about Kwik Trip), it will probably not become another gas station.

So what could go there? 

I'd say a coffee shop, small diner or even a fast food place (Dare I say… White Castle?) could be reasonable options for that high traffic area along South Broadway.

Even a bar might work there. Remember, Beer Bellyz is a converted Holiday gas station.

Appeals Court reverses ruling on Rochester Buffalo Wild Wings dispute

The owners of Rochester's Crossroads Shopping Center feel vindicated by a  Minnesota Court of Appeals ruling in their favor in a long-running battle over a proposed Buffalo Wild Wings.

"I've always said, 'If anyone in the courts follow the law, we'll win,'" says Bob Meek, who owns Crossroads with Vic Scott. "It gives me faith that the judicial system is functioning properly. I was starting to have my doubts."

After losing three battles at the planning commission, the Rochester City Council and then in Olmsted County District Court, Crossroads won the legal war in the end.

Monday's ruling reversed a June ruling by Olmsted County Judge Nancy Buytendorp that dismissed Crossroads' lawsuit against BWW owner Graf Enterprises and the city of Rochester.

The dispute was over the city's approval of  Rochester businessman Tom Graf's plan to build a 7,000-square-foot Buffalo Wild Wings in the lot in front of the Crossroads center. Graf introduced the development plan in 2011, when he purchased Pannekoeken Huis restaurant, demolished it and then filed to build his second Rochester BWW on the site.

"We are extremely disappointed in the appellate court ruling," Graf said Monday afternoon.

What does this mean for his plans to build a second Buffalo Wild Wings and his ownership of the land surrounded by Crossroads property?

"We are taking a look at our options," he said.

Parking is at the heart of this dispute . The city-approved plan called for 55 parking spaces — 35 on Graf's plot of land and 20 spaces in the surrounding Crossroads parking lot.

That calculation was made with the understanding that the proposed restaurant is part of the business center. Otherwise the proposed restaurant would require 88 parking spaces.

The Crossroads owners long have said that the city ordinances were not being followed and that the plan took their property away and gave it to Graf for his use.

"For a developer and a shopping center, excess parking is money in the bank," said Meek.

In the appeals court ruling, the judges sided with Crossroads' position, writing "Because Crossroads' protectable right to the parking spaces on its property is placed in jeopardy by the city's actions, Crossroads has standing, its claim is ripe and the district court erred by dismissing the claim on justiciability grounds."

The ruling stated that the city staff did not follow Rochester's own ordinances in regards to what is part of a business center and if Graf had enough control of the Crossroads' parking spaces to warrant allowing him to use 22 of them.

City Attorney Terry Adkins said that the ruling means that the city planning department will now need to "strictly" apply the ordinances.

For his part, Meek said he was relieved to have the case resolved after so long, though he still feels it should not have played out the way it did.

"I think it is terrible that a private party like us had to spend so much on a lengthy case just to prove the city wasn't following their own rules," he said.

Rochester's DMC tight rope walk - Looking for people for article

Last week I interviewed a few local leaders about the DMC tight rope walk, particularly after last week's political chatter about Rochester being boring.

It seems the path is between "Rochester needs money to be better" and "Rochester is a great city."

I'm looking for to interview folks who normally don't get quoted in the newspaper for feedback on if Rochester actually is dull? Dull or not, everyone seems to have ideas about what this city needs to improve the quality of life here plus add some zest to the community's personality.

Beside looking for the opinions of average people, I'd also like to chat with some young doctors as well as some patients visiting here for medical treatment.

If you are interested, please contact me at jkiger@postbulletin.com or 285-7798.

Deal to buy ex-People's Energy Co-op building in works

People's Energy Cooperative moved out of Rochester and into a newly built complex outside of Oronoco last spring.

Since then, its 42-year-old headquarters at 3935 U.S. 14 E. has stood empty.

Now a deal is in the works s a local buyer is stepping up to make an offer on the former People's complex. It includes a 13,000-square-foot office building and a 40,500-square-foot warehouse/shop building.

Hamilton Real Estate had listed the property at $2.8 million. I believe the offer in the works is for $2.4 million.

Look for all of the details on this to come out in the PB.

Plug pulled on IBM's record breaking computer Roadrunner

IBM's record-breaking Roadrunner supercomputer was the fastest computer in the world when introduced five years ago.

But this week, it was retired and soon will be dismantled, surpassed by other machines in the fast-evolving world of supercomputers.

The Roadrunner, which owed much of its hybrid design and manufacture to Big Blue's Rochester campus, was the first machine to break the computer industry's "sound barrier" in 2008 by clocking a petaflop or one quadrillion calculations per second.

“We just all looked around and said, ‘We made it,’” stated Peter Keller, who was part of the Rochester manufacturing team that recorded that historic milestone on May 25, 2008.

The plug was pulled on the $121 million supercomputer on Easter Sunday at Los Alamos National Laboratory in New Mexico.

"Roadrunner, while I would not define it as strictly obsolete, it has been surpassed by newer technology," said Kevin Roark, of Los Alamos. "It's perfectly normal. …This is the natural progression."

Roadrunner's duties are being shifted over to Los Alamos' Cielo supercomputer, which is made by Seattle-based Cray Inc. Two years younger than Roadrunner, Roark describes it as faster, smaller, less expensive and more energy-efficient than its IBM predecessor.

Until it was shut down, Roadrunner ran 24 hours a day, seven days a week since being delivered to the laboratory via 25 trucks.

While it now is being experimented on as it waits to be dismantled and shredded, Roadrunner took Los Alamos' work on the United States' nuclear weapons stockpile to a new level.

"It has performed remarkably well. It has really helped us solve some fundamental problems that were essentially unsolvable before a computer of its speed," Roark said.

It wasn't just its speed that made Roadrunner so groundbreaking. The revolutionary hybrid design that coordinated the use of different types of computer chips, including Cell chips originally designed in Rochester to be used in Sony's PlayStation 3 video game system.

"Roadrunner was a truly pioneering idea," said Gary Grider, of Los Alamos' High Performance Computing Division, in a statement. "Roadrunner got everyone thinking in new ways about how to build and use a supercomputer."

Los Alamos teamed up with IBM to build Roadrunner from commercially available parts. They ended up with 278 refrigerator-size racks filled with two different types of processors, all linked together by 55 miles of fiber optic cable.

The supercomputer has been used over the last five years to model viruses and unseen parts of the universe, to better understand lasers and for nuclear weapons work. That includes simulations aimed at ensuring the safety and reliability of the nation's aging arsenal.

Roadrunner was the world's fastest computer for 18 months. At its peak, it was two times faster than Blue Gene/L, which was IBM’s star machine and the fastest computer in the world in 2007.

Its historic speed kept Roadrunner on the Top 500 Fastest Computers list, despite being outdated. It still ranked as 22nd fastest machine in the world in November.

IBM had four of the top 10 fastest computers on that November list, and all had roots in Rochester. Sequoia, a BlueGene/ Q, took the No. 2 spot behind Cray's Titan. Other BlueGenes — Miram JUQUEEN and Fermi — locked up the fourth, fifth and ninth spots.

Paint business to build new store, add more color to S. Broadway

It looks like more color is in the pipeline for Rochester's South Broadway.

A Rochester paint business looking for a home has decided to build a new store.

Sherwin-Williams plans to build a 4,000-square-foot paint store on a spot in the parking lot in front of the south ShopKo and Menards stores, just south of Culvers.

The hope is to get it built and open by October, says Nate Reit, manager of the south Rochester Sherwin-Williams store located in the former Rochester Market Square building. That former "home building mall" used to house a number of similar construction business tenants. However, that focus faded when the economy crashed and the building industry was gutted.

The 56,000-square-foot complex was purchased by the Rochester School District for $2.1 million last fall. It is being remodeled to house area learning programs.

With the building being "schooled," the one remaining tenant, Sherwin-Williams, needs to move out.

That's where the new store comes in. Reit says building will allow Sherwin-Williams to have "total control" of its future in south Rochester.

"I think our retail business will really thrive there, particularly being near Menards," he says. "We haven't been that accessible for the past six and half years we have been here (in Rochester Market Square)."

However, Sherwin-Williams does have a strong relationship with many of the area's contractors, and he believes that will continue in the new spot.

Right now, the south store has nine on staff.

"I think we'll probably need to add people at the new location, just to keep up with the additional retail business," Reit says.

In addition to the south location, Sherwin-Williams has a store on the north side of Rochester. Both stores are corporate-owned.

New salon concept ready to launch in south Rochester

A new twist on hair salons is ready to roll into south Rochester.

Austin and Kari Lucas are setting up a Sola Salon Studios franchise in 5,200 square feet of space in Shoppes on Maine. Sola Salon is taking most of the strip of empty spots along the north side of the complex that houses MGM Liquors and the former Best Buy store.

The concept is more like a mall than a traditional beauty salon. It will be a collection of 26 private studios that will be available for lease by licensed stylists and professionals in related fields. Three sizes of models will be available.

"We're not in the salon business," explained Austin Lucas. "We're in the business of putting people into business."

Each studio is its own independent operation with its own name, retail products, prices and hours.

"They keep all of the money. They can start their own salon without any of the usual headaches of starting a business," he said. "This is several steps further than stylists renting a chair, like you see in many salons."

If everything goes as planned, construction should begin soon. The hope is to have the studios ready for tenants by early to mid-summer.

Besides a space, Sola Salon provides the hydraulic chairs, sinks and whatever other basic equipment that is needed.

Access to the studios is available 24 hours a day, seven days a week. That allows the tenants to be open when they want to work.

Three Sola Salon Studios are open in the Twin Cities, and two others are under construction. This will be the first one outside of the metro area.