First MRI

By Life No Comments

My son had his first MRI today.

The ear surgeon wanted to see the results in his left ear, and we knew this day was coming. But they also wanted to see what’s going on in the right ear, as he may need surgery there, too. An MRI is scary for anybody. For a kid, it’s worse. For a kid on the spectrum, it’s a different kind of mountain.

So we prepared.

Children’s Hospital of Colorado made a video about what to expect in the MRI. We watched it every day for a week. We built a setup at home: he laid his head in a canvas toy bin, put in earplugs, and put on headphones. The Children’s Hospital MRIs have a setup that lets kids watch a movie during the procedure, so during our home MRI practice, I held up an iPad playing K-Pop Demon Hunters. Meanwhile Juli banged pots and pans and made loud noises while encouraging Royce to lay perfectly still.

We got Royce pumped up. Told him he was going to be an MRI Star!

At the hospital he and I both changed into scrubs, because one parent was allowed to go back with him. They let the kids bring a stuffy and a blanket, too, as long as there’s no metal on it.

We walked into the MRI room.

His whole body changed. He tensed up, started taking smaller steps. “I am shaking. I am shaking.” That’s Royce-speak for scared.

We went slow. The tech’s name was Krystal. She was patient and willing to do this in whatever tiny increments he needed. I sat on the bed. Then he sat on my lap. Then he touched the bed. Then he sat on the bed. Then we worked on laying him down, getting his head in the cradle.

He started naming his zones. “I’m in the Blue Zone. I’m in the Red Zone. I’m shaking.” We got his blanket on him. He held his kitty.

We tried the helmet. It’s not actually a helmet, it’s a plastic frame that sits a few inches above his head and improves MRI image quality. It also holds a mirror in place. That mirror reflects to a TV behind the MRI, which is where the movie will play.

We got him to lay down under the helmet but he went right into the Red Zone and sat up.

We backed up and worked on each step: earplugs first. He said they were too squishy, but he dealt with them. Then the headphones. He said they were uncomfortable.

We got him back down. “Let’s try the helmet for just 10 seconds.” We counted to 10. Krystal unclicked it and let him sit up. Still nervous, but okay. Let’s try again, longer this time, with the mirror in.

Krystal told me my options during the procedure: I could stand at his feet and hold his toes (not recommended, because kids lift their heads to see their parents), or I could sit by the TV so he could see me reflected in the mirror.

We got him back down in the setup. I went to the TV and he grabbed for Krystal’s hands. I was on the other side but I could see him in the reflection. I gave him two thumbs up. He gave me one back. I told him that’s exactly where I’d be the whole time.

Then came the wedges.

I hadn’t thought about the wedges. Little foam blocks they push in between the headphones and the cradle to keep his head locked in place. More pressure. More tightness. We’d practiced a lot of things. We hadn’t practiced that. He shot up with tears in his eyes. Headphones off. Earplugs falling out. Red Zone.

We showed him the wedges. Let him touch them. Explained what they do. I got him to try again.

This time he grabbed onto Krystal’s hand and wouldn’t let go. She had to go operate the machine. She told him gently, “I can’t stay here.” I was holding his toes with one hand, holding Kitty with the other and trying to hold his arms down. The moment she pulled her hand back, he was up. Everything came off.

We started over. I asked Krystal to start the movie first, thinking it might distract him. She did. We got the earplugs in, the headphones on. He could hear the movie. Got him down. Wedges in. He grabbed her hand. Squeezed. Helmet. Mirror. She tried to pull away.

Same thing. He shot up, tears in his eyes, everything fell off.

We’d been at it least 30 minutes. Krystal was kind but she had other patients waiting, “I’m sorry, but we’re already over time.”

We went into this knowing it wasn’t going to be his only MRI. With the right ear possibly needing surgery, we might be looking at annual MRIs for years. If we couldn’t get through this one right now, it meant we’d have to come back and use anesthesia. And for every time thereafter. We didn’t want that for him.

I stood there feeling completely hollowed out. Gutted, thinking about walking back out to Juli and telling her we couldn’t do it.

I kept my voice level, but Royce is sensitive; he knows when something’s wrong. “Come on Royce, we’re all done. Let’s get your stuff and go.” I grabbed the blanket and kitty, and I swung his legs off the table.

Something clicked.

He laid right back down, put his head in the cradle, and said, “I’m ready to hold still.” His eyes were bloodshot from the tears, but they were fierce and determined. “I’m ready to hold still,” he repeated.

I looked at Krystal. “Let’s give this one more shot.”

Earplugs. Headphones. Wedges. Helmet. Mirror. He reached for Krystal’s hands.

This time I grabbed them instead. That wasn’t one of the options I’d been given. Krystal didn’t say anything and I didn’t ask. I just held his hands.

She left the room and I heard the heavy door thud closed. The table started sliding back into the machine. They only needed to scan his head, so I could still reach his hands when he was in the middle. He went in and my arms went with him.

I was bent at about 45 degrees, shoulders and head outside the magnet, arms and hands inside, holding his hands. I positioned myself as high as I could in his sight line so he could see me by flicking his eyes to the bottom of his lids.

I was shouting over the K-Pop Movie and the MRI racket. “Just get to the Blue Zone. It’s gonna be okay. I’m right here.”

And he did it.

For the first few minutes he held still maybe 75% of the time, dipping his chin a bit to see me better and say something that I couldn’t hear over the insane MRI noises. By the end he was completely still. He’d flick his eyes down, see me, flick them back up, watch the movie.

I could see him singing “Soda Pop” when it came on.

I would catch glimpses of the movie, but really, I was focused on him. Every time I’d look at him, I was so overcome with pride and joy that now I was crying. At the brink of giving up, at the point of failure, he dug deep and found a fire inside.

I held his hands for over 30 minutes. My lower back cramped so hard it went past pain into numb. When Krystal said “okay, all done,” and rolled him out, I couldn’t even stand up straight. I didn’t care. Royce came off the table and I couldn’t stop telling him how proud I was.

When we came out to the waiting room Royce saw Mommy, he ran over to her and with tears starting to well up again said, “I was in the Red Zone, then the Blue Zone and then the Green Zone!” He finished the sentence with pride in himself.

Juli asked the tech, “did you get the images?” She said yes, and Juli burst into tears of relief and joy. He sat in Mommy’s lap and was showered with hugs and kisses.

He was scared. He knew he was scared. And he did the hard thing anyway.

That look on his face when he laid back down after everything had gone wrong, that look of determination, I’ve never been more proud in my life.

Fatherhood Is Forgiveness

By Life

It’s 2023 and it’s the day after my daughter had yet another tantrum that turned into a complete meltdown. My therapist reassures me that this will pass, adding that children are not fully physiologically able self-regulate emotions until around four or five. At the time she was nearly five and we were well over two years into meltdowns.

Sometimes I’m calm through the meltdown, handling the situation with a deep level of acceptance and love. Sometimes I yell, matching her decibel for decibel. Yelling is the worst. It escalates the situation, guaranteeing that it will take longer to resolve. It also leaves me feeling hollow and regretful, like I have a gaping wound in my soul.

I think to myself, how did I become The Dad That Yells? I think about the father that I want to be. I think about the father that I have and how he was with me when I was a kid.

A memory from my childhood jumps out from the distant past. While out riding bikes in the neighborhood with my friends, we were talking about times we got in trouble. After proudly contributing my story of misbehavior, I add, “my dad was so mad! He really yelled at me!” I’ll never forget that my friends laughed in disbelief. “Your dad doesn’t yell,” they chided. “If you want to hear a yelling, come to my house!” Then they all tried to one-up each other with stories of their dads screaming at them.

My parents were—and still are—gentle, thoughtful and deeply loving; their disappointment in me was often the punishment enough.

So how did I become The Dad That Yells? I wonder this after I’ve managed to somewhat pull myself together and demonstrate that a 40-something is, in fact, fully physiologically able self-regulate emotions—even after having recently proved the opposite.

Why did I lose my temper and yell? What is wrong with me? That sort of self-reflection which leads to self-recrimination, spirals me downward. 


The strange thing about my child’s meltdown is that after she’s fully emoted with every single atom in her body, she’s done. The valve is off, and she’s ready to play. Many times, my daughter has come out of her room, face puffy and red from non-stop crying, beams a huge smile, and says in a voice raspy from twenty minutes of screaming, “Daddy, guess what? I thought of something fun we can do together!”

I stand there dumbfounded. Partially because I’ve been spiraling downward about being The Dad That Yells, berating myself for just absolutely fucking up this fatherhood thing. And partially also because, for the last twenty minutes I’ve been the brunt of a non-stop barrage of verbal and emotional assaults from this child.

I think about the latter part as though someone handed me a steaming bag of dogshit. I’m just standing there, holding this giant, stinking bag of shit, custom-crafted just for me by my little girl, and now she is all smiles and wants to play?!

Gobsmacked, I believe is the term I’m looking for.


I think about my parents again. I think about my dad. What did my dad do with all the bags of shit I handed him? When I think about the things I did as a kid—or worse, as a teenager—it’s a wonder they still pick up the phone when I call, let alone still love me and want to see me.

The accumulation of the awful, foolish things I did, whether purposefully, spitefully, or simply to try and get away with it, the weight of it could be unbearable. But there’s no resentment from my parents. They’re not carrying around any of that shit.

That’s the thing about a bag of shit: you don’t have to carry it around. You can set it down. But in the heat of the moment, it’s really, really hard to set that shit down.


My daughter is smiling hopefully at me through her puffy eyes. My mind is reeling with introspection. I’m standing there, gobsmacked, yes, but also with the realization that I’m holding two bags of shit. One that she lovingly crafted for me, the other that I made for myself out of self-recrimination.

How do I put these down? How do I move forward?

The answer is simple: forgiveness.

Fatherhood is forgiveness.

I have to forgive her—wholly, completely, and instantaneously. It’s the only way to put that bag down. Just as important, I have to forgive myself. I can’t be the father that I want to be if I’m going to carry around a bag of my own stinking shit.

I think about my dad again. He has forgiven me for all of my transgressions. I don’t have to ask him—I know it deep in the core of my being.

Fatherhood is forgiveness.

Fatherhood is forgiving your children because you love them so deeply you could do nothing else but forgive them. Fatherhood is forgiving yourself because without that you could never be fully present, loving them with your whole self.

“Daddy?” she breaks me out of my reverie.

I climb the stairs and together we talk about forgiveness.


It’s spring 2024. We’re sitting on her bed finishing up the bedtime routine and she asks me, “what are you afraid of?” Earlier in the day I had dealt with a spider in the house so she may have been expecting an answer of spiders or sharks or ghosts. But I catch both of us off guard as my answer seems to come from out of nowhere, “I’m afraid of being a bad father to you and your brother.”

The meltdowns had subsided after she started full-day kindergarten, less than two months after her fifth birthday. She’s had her moments, I’ve had mine, too. In those moments and afterward, I repeat my mantra, “fatherhood is forgiveness.”

Just as quickly as I gave my answer, she responds. “You don’t have to be afraid of that,” she says as she gives me a hug to assure me, “you’re the best dad in the whole world.”

Despite the sudden lump in my throat, I thank her and tell her she’s the best daughter in the world. As I leave the room, I repeat my mantra, “fatherhood is forgiveness.” I’m sure I’ll need it again soon.

Sunrise through second story windows

click.

By Life

Today is a strange anniversary for me. One year ago I had open heart surgery to replace my aortic valve.

I needed a replacement because of a birth defect—one I didn’t know about until I was 43 years old. With that diagnosis I was told that “someday” I would have to get the valve replaced. After a scare in July 2021, “someday” turned out to be September 8, 2021. 

I’ve been through life-saving surgery before. I survived cancer in 1997, which included two operations. Despite the major surgery being minimally invasive, it was still scary. In 1997 I was 22. No one was relying on me for anything. I had my whole life ahead of me and not a care in the world… except to beat cancer. 

In 2021, things were different. At 46 years old with an amazing wife, two wonderful kids, and a career that fulfilled me, I had everything to lose. Fear crept into my thoughts too frequently: would my children grow up knowing their father or just stories about him? Would I be just another blip in the cosmos?

Thankfully, the time between prognosis and surgery was short. During that time, I had one major decision to make: artificial or biological valve? Each came with their own risks and benefits. After doing our own due diligence, my wife and I chose the artificial valve. I mean, who doesn’t want to be part cyborg?!

The surgery went well. The recovery sucked. But this story isn’t about that. This story is about the valve.

The amazing thing about the artificial valve is that it clicks when it closes. It opens to let the blood out. Then… click …it closes. When it’s quiet around me, I can hear it. It’s a deep, sensory type of hearing, almost a feeling. 

It’s the most wonderful thing.

click.

It’s a constant reminder to focus on what’s truly important in life.

click.

When the world is still, I can breathe and connect with this.

click.

Whether my mind is racing, raging, distracted, lost in thought…

click.

This is the part of the story where I offer you life-changing advice, isn’t it? Only, I’m not quite sure how to do that.

I can tell you that I often reflect on the fragility of life as I listen to my click. In that fragility, I connect to the vastness of humankind. All the humans that have ever lived and (at least for the near future) ever will live, all contained on this little rock spinning through spacetime, orbiting an unremarkable G-type star in a less fashionable part of the Milky Way Galaxy. In that moment, I feel deeply insignificant.

When I was younger, recovered from cancer and living in NYC, I think I also felt that fragility and insignificance. I reacted differently then. I was reckless and care-free, a consequences-be-damned risk-taker. Maybe I was leaning into life’s insignificance. Maybe I was trying to bury it, hide from it or run from it. Maybe I was just a 20-something in New York. Probably all of the above.

As a father, husband (and 40-something living in the suburbs in Colorado) my perspective is different.

Insignificant to the cosmos? Yes.

Insignificant entirely? No.

Our significance is the impact we make on others, with every click.

Whether with my wife, my children, parents, sisters, extended family or close friends, when I connect with those that I love, I can be significant to them. Even better, that it’s on a consistent basis.

When I contribute something positive to someone’s day, in that moment—in that click—I can be significant for that person. And that person is significant for me. 

In these moments, in these clicks, we are significant to each other. And that gives me meaning and purpose. That reminds me to focus on what’s truly important: the difference I can make in people’s lives, whether fleeting or consistent.

In its simplest, purest form, we can give gratitude to one another. That gratitude creates significance.

click.

It’s not a click that gives my life meaning.

click.

It’s what I do between each one.

click.

You don’t need a click to find meaning in your life.

click.

But a reminder helps. My reminder…

clicks.

What does yours do?

VC Minute: VC Validation

By Startups

Let’s talk about venture capital and validation.

Lack of venture investment does not invalidate your business.

The purpose of a business is to sell goods or services. The purpose is to create something of value that people or companies will give you money for.

The purpose of venture capital is to pour rocket fuel into your business to accelerate your growth. That rocket fuel may cause your business to explode—in the “explode into a million little pieces and leave nothing behind but a smoldering hole in the ground” sense of the word.

That smoldering hole in the ground that contains the ruins of your startup hopes and dreams, is an accepted outcome of the venture capital business model.

Venture capital is a very specific financial instrument. It just so happens to be the one that the media is absolutely obsessed with and covers extensively. Generally speaking, that rocket fuel pairs well with SaaS and other hyper-scalable business models. But not all and not always.

Venture capital does not necessarily validate your business. Lack of venture capital absolutely does not invalidate your business. If and when you choose to take venture capital, remember, it’s just fuel. It has to be the right fuel at the right time for the right machine. And even then, you still have to build a business that serves its customers. 

Listen to the whole episode here:
Startup of the Year Podcast Episode #0054 – Jason Barsema Talks About Changing The Way We Invest With Halo Investing

On this episode of the Startup of the Year Podcast, Frank Gruber talks with Jason Barsema, the Co-founder and President of Halo Investing (haloinvesting.com). Halo is the first multi-issuer technology platform for protective investment solution. Halo was founded in 2015 with a mission to provide access to impactful investment opportunities previously unavailable to most investors and is changing the world of investing by democratizing the protective investment marketplace through transparency and efficiency with the help of technology.

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VC Minute: Work with a Startup Lawyer

By Startups

Let’s talk about working with a startup lawyer. 

I’ve heard many stories of inexperienced or predatory investors ruining companies by putting non-standard terms in the term sheet. These startups could raise much-needed capital because the prior investors put in bad terms and refused to give them up.  I’ll give you a few examples.  

Occasionally a corporate investor will try to include a Right of First Refusal, a ROFR, on sale. This unnecessarily limits the exit options of the startup and with venture investors being in the exit business, any reduced optionality is a bad thing.  

In another case, I heard of an angel group that had an overreaching right to approve or deny future investments, and actually prevented a startup from raising much-needed capital. 

In both cases these were materially different clauses from a typical Right of First Refusal, which usually has to do with common stock sales.

Another case I heard recently was an investor asking for a discount on the next round of financing, which is ridiculous. 

The expectation is that every investor puts money in on the same terms in the same round. The next round gets negotiated separately. 

There are more insidious terms to avoid, too many subtleties to list here. The single best piece of advice I can offer you is to hire a law firm with experience writing startup term sheets. This is NOT your cousin that just got his JD nor is it your aunt who has practiced real estate law for 30 years. Neither are qualified to represent you in a financing round. 

Find a good startup law firm. It doesn’t have to be a big national name like Cooley or Wilson Sonsini. The startup practice at Michael Best in the Midwest is stellar, as are many local law firms. Ask around to the startups in your community for a good startup law firm, and avoid these major pitfalls that will sink your company if you don’t.

Listen to the whole episode here:
Startup of the Year Podcast – #0053 – How Startup Founders Should Pitch a TechCrunch Reporter with Natasha Mascarenhas

On this episode of the Startup of the Year Podcast, we hear an interview from our 2020 Summit, when our Director of Strategic Operations, John Guidos, talked with Natasha Mascarenhas, a reporter at TechCrunch. Natasha covers seed and early stage founders, as well as the networks they take to get their first check. She also focuses on education amid COVID-19. Before TechCrunch, she was at the Boston Globe, the San Francisco Chronicle, and Crunchbase News.

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