I love the book myself, but there's also an issue in our field of how you reduce the software development process to something you can propagate in franchise style (by book(s), face to face lessons, whatever). That's just beyond the current state of the art of management(/human nature) and software engineering.
However documenting and following procedures that you learn will work might still be useful. E.g. for face to face sales, not that the typical HN startup does those (see Joel's essay on why software tends to cost < 3K or > 50K (or thereabouts)).
Doing this sort of thing for your web site deployment process certainly would is useful. And a recent HN item talked about a company in which the internal communications was so bad it was in danger of losing a critical client because the programmers had never been told the client needed a major new release.
Anyway, all that said, there's still plenty of good advice in the book for any entrepreneur. Here's what I had to say about it in previous HN threads:
http://news.ycombinator.com/item?id=1021526
http://news.ycombinator.com/item?id=1385190
and for other discussions you can try http://www.google.com/search?q=%22the+e-myth%22+site%3Anews....