Exhibit 10.9

|                        |   |                    
|----------------------- | - | -------------------
|STATE OF SOUTH CAROLINA | ) |                    
|                        | ) | FIRST
 AMENDMENT TO
|COUNTY OF RICHLAND      | ) | LEASE
 AGREEMENT   

This
First Amendment to Lease Agreement (the First Amendment) is entered into to
be effective as of the 25 day of March, 2009, between FONTAINE BUSINESS PARK, LLC,as
attorney-in-fact for certain entities listed in Exhibit A (collectively,
Landlord) andBiotel, INC. a Minnesota
corporation, hereinafter called Tenant.

WHEREAS,
AP SOUTHEAST PORTFOLIO PARNTERS, L.P. (predecessor in interest to Landlord) and
Biotel, INC. (Tenant) entered into that certain Lease Agreement dated October
1, 2005, (the Lease) for the lease of approximately 2,903 square feet of
rentable space in the Fontaine Business Center Fontaine II, located at 400 Arbor
Lake Drive in the City of Columbia, Richland County, South Carolina (the
Premises);

WHEREAS,
Landlord and Tenant desire to amend the terms of the Lease to (i) modify the
Term to (ii) modify the Base Rent and (iii) to provide for certain other
matters more particularly set forth below.

NOW,
THEREFORE, for and in consideration of the mutual promises and provisions
contained in the Lease, and other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, Landlord and Tenant,
intending to be legally bound, agree as follows:

| |    |                                                                                                                                                                                                                                                                                                                                      
| | -- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
| | 1. | Modification
of Section 1. b. Section 1.b. of the Lease is hereby
deleted in its entirety and replaced with: 1.b.. Term: The term of this
lease shall be for a period of twenty four (24) months beginning on May 1,
2009, the Commencement Date,
through April 30, 2011, the Termination Date.                                
| |    |                                                                                                                                                                                                                                                                                                                                      
| | 2. | Modification
 of Section 1. e. Section 1.e. of the Lease is hereby
 deleted in its entirety and replaced with: 1.e.. Base Rent: Tenant shall pay base rental for the Premises
 leased in the amount of $87,090.00 payable in monthly installments on the 1st
 day of each month in accordance with the following Base Rent Schedule:

|                   |              |                |                  
|------------------ | ------------ | -------------- | -----------------
|Months             | Rate Per RSF | Monthly Amount | Cumulative Amount
|5/1/2009-4/30/2010 | $14.75       | $3,568.27      | $42,819.25       
|5/1/2010-4/30/2011 | $15.25       | $3,689.23      | $44,270.75       

| |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
| | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
| | All payments are due in
 advance on the first (1st) day of each month without prior offset
 or deduction to Landlord at Landlords address specified in Section 39 hereof
 entitled NOTICES or at such other place as Landlord may direct. In the
 event any Tenant check tendered to Landlord in payment of its obligations
 hereunder is returned by Tenants bank or insufficient funds, any and all
 charges incurred by Landlord as a result shall be billed to Tenant by
 Landlord as additional rent hereunder.

| |    |                                                                                                                                         
| | -- | ----------------------------------------------------------------------------------------------------------------------------------------
| | 3. | Modification of
Section 1. f. Section l.f. of the Lease is hereby deleted
in its entirety and replaced with: 1.f. Rent
Payment Address:

| |                                
| | -------------------------------
| | Fontaine Business Park, LLC    
| | c/o CB Richard Ellis  Columbia

| |                                          
| | -----------------------------------------
| | P.O. Box 1837                            
| | Columbia, SC 29202                       
| | Attention: Property Management Accounting

1

---



4.       Modification
of Section 1.n. Section l.n. of the Lease is hereby deleted in its entirety
and replaced with the following:-

1.n. NOTICES:All notices provided for
herein shall be in writing and shall be deemed to have been given when
deposited in the United States mails, postage fully prepaid, and directed to
the parties hereto at their respective addresses given below:

| |               |                                    
| | ------------- | -----------------------------------
| | Landlord:     | Fontaine Business Park, LLC        
| |               | C/o U.S. Commercial, LLC           
| |               | 111 Corporate Drive, Suite 120     
| |               | Ladera Ranch, CA 92694             
| |               | Attn: Paula Mathews                
| |               |                                    
| | with copy to: | Fontaine Business Park, LLC        
| |               | c/o CB Richard Ellis - Columbia    
| |               | P.O. Box 1837                      
| |               | Columbia, SC 29202                 
| |               | Attention: Sandra Johnson          
| |               |                                    
| | Tenant:       | Braemar, Inc.                      
| |               | 400 Arbor Lake Drive, Suite B 450  
| |               | Columbia, SC 29223                 
| |               | Attn: Jeffrey C. Glover            
| |               |                                    
| | with copy to: | Biotel, Inc.                       
| |               | 1285 Corporate Center Dr. Suite 150
| |               | Eagan, MN 55121                    
| |               | Attention: Steve Springrose        

| |    |                                                                                                                                                                                                                                                             
| | -- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
| | 5. | Defined Terms.
 All capitalized terms not otherwise specifically defined herein have the same
 meaning ascribed to them in the Lease.                                                                                                                       
|
| | 6. | Improvements:
 Landlord agrees to make the following improvements at Landlords expense: Add
 two (2) additional light switches to entry door, replace thermostat, clean
 and recoat VCT, clean carpet, and install deadbolt locks to front and back
 doors.

[signatures appear
on following page(s)]

2

---



SIGNATURE PAGE FOR
FIRST AMENDMENT TO LEASE AGREEMENT

IN
WITNESS WHEREOF, Landlord and Tenant have executed the foregoing First
Amendment the day and year first above written.

| |                              |                                      
| | ---------------------------- | -------------------------------------
| | LANDLORD:                   
| |                             
| | FONTAINE BUSINESS PARK, LLC,
| |                             
| |                              | By: U.S. Commercial, LLC,            
| |                              | a Delaware limited liability company,
| |                              | its Manager                          

| |        |           |                     |  | 
| | ------ | --------- | ------------------- |  | 
| | By:    |           |                    
| | Name:  |           | H. MICHAEL SCHWARTZ
| | Title: | PRESIDENT

| |                  |                 |                  |  |  |  |  | 
| | ---------------- | --------------- | ---------------- |  |  |  |  | 
| | TENANT:          |                 |                  | 
| |                  |                 |                  | 
| | Biotel, INC.     |                 |                  | 
| | By:              |                 |                  |  |  | 
| |                  |                 |                  |  | 
| | Name:            |                 | Steve Springrose |  |  | 
| |                  |                 |                  |  | 
| | Title:           | President & CEO |                  |  | 
| |                  |                 |                  |  | 
| | EIN# 56-2053 708 |                 |                  | 

3

---