Bike Repair, Apps, and Improved Shared Decision Making: Here's What Happened at the Latest 1 Million Cups Rochester


The community heard from two Rochester-based entrepreneurs at the past 1 Million Cups Rochester who are operating in very different spheres.

First up was Ken Zaiken with KZaiken Enterprises. Zaiken is developing a patient-oriented app to improve the process of Shared Decision Making (SDM) called EZSDM.


SDM- the process where the physician and the patient work together to plan out tests and treatments based on the patient’s values- is a well-documented method. The problem is, the actual implementation of SDM into the clinic does not always happen. Poor communication between patients and physicians, Zaiken explained, is a large part of the issue. When talking to physicians, patients may be overwhelmed or completely zone out and fail to effectively communicate during these challenging moments.

Zaiken said there needs to be a better way to tap into the patient mindset and have their values and desires play a role in their own healthcare. He believes that his app, EZSDM, is a viable solution to this problem.

Zaiken is using his twenty-eight years of software and project management experience to develop this tool to break down communication barriers and take into account the value of five different factors to the patient: duration of treatment, pain, life expectancy, success rate, and cost. Zaiken envisions EZSDM as a modern tablet interface where the patient can rank the importance of these five values to their treatment. The patient can then share graphical output of these rankings with the physician to influence the treatment plan.

“The important thing is to have a meaningful discussion,” Zaiken explained.

So far, he’s received positive feedback on EZSDM from the medical community. Now, he’s looking for a physician flagbearer for the product, which he hopes will help to drive funding to fuel the creation of a beta version of his vision.

Next up at 1 Million Cups Rochester was Charly Tri, Founder of My Bike Guy. My Bike Guy is a mobile bike repair business that Tri runs out of a van. This emerging startup is built off of Tri’s twenty-five-year history of bike repair.

Tri, a self-described “go-getter,” began working in a bike repair shop in Rochester at age fifteen. He first conceptualized his business four or five years ago but put the idea on the backburner until his oldest child entered kindergarten. Tri built his business as conservatively as possible to save funds, designing the website, logo, and even the wrap for his van himself.

Tri’s mobile bike repair shop is nearly as well supplied as any brick and mortar facility. The best part is the convenience of Tri’s service; My Bike Guy comes to you to repair your bike, regardless of location.


“You literally don’t have to get out of your pajamas,” Tri joked.

The biggest threat to My Bike Guy, Tri explained, is the establishment of other mobile bike repair businesses in Rochester. However, he’s not too concerned. Tri thinks that you should have at least ten years of bike repair experience before launching into a mobile endeavor. Bike sales are the biggest opportunity for his business that Tri sees right now. He’s done fairly well in this avenue so far and can currently source any type of bike to retail.

1 Million Cups is a free, national education program developed by the Kauffman Foundation. 1 Million Cups takes place every Wednesday at 9AM across 174 US communities to support and encourage entrepreneurs. The program is based on the idea that entrepreneurs connect and discover solutions over one million cups of coffee.

Join the community at the next 1 Million Cups Rochester on Wednesday April 4th.