Steve Blank recently got a call from Patrick, an ex-student he hadn’t heard from for 8 years. He’s now the CEO of a company and wanted to talk about what he admitted was a “first world” problem. His company was at about 70 people with $40 million in annual revenue, but he had only just started to realize that further growth would take increasingly hard decisions, parting ways with early employees and pivoting smart. He wasn’t sure how to proceed. [Read the full story on First Round Review].