What Looking at Brains Every Day Teaches You About Life

A conversation with Dr. Randy D’Amico on life, death, and the perspective that comes from literally looking inside the human brain.

By
Josh Felgoise

May 30, 2025

Dr. Randy D’Amico spends his days performing brain surgery. When your job involves opening skulls and holding the organ that creates someone’s entire reality in your hands, it changes how you see life. His perspective makes most of our daily stress feel small in a way that’s not dismissive, just clarifying.

The Brain Behind Everything

“Everything that you see, every conversation that you have... it’s just a piece of mushy, like medium tofu.”

That’s how Dr. D’Amico describes the human brain.

Soft. Fragile. Unassuming.

And yet responsible for every thought you’ve ever had, every memory you care about, every fear, belief, opinion, and dream you’ve built your life around.

Everything you think is solid and real is happening inside something that could be altered forever by an accident, an illness, or sheer probability.

That awareness changes things. It echoes the same realization behind How Do I Build Confidence When I Feel Behind?, where perspective shifts the weight of everyday pressure.

The Great Equalizer

“Life is a gift and none of us are owed anything at all. Brain tumors, spine tumors, cancers, accidents, they don’t give a shit who you are.”

Dr. D’Amico treats everyone. Famous people. People with nothing. People who did everything “right” and people who didn’t.

Biology doesn’t care.

“Time doesn’t matter. It doesn’t matter that you’re young or old. The world and probability and the universe do not care.”

That reality sits quietly behind most of the things we stress about. Titles. Timelines. Comparisons. Status. The invisible race everyone thinks they’re losing.

None of it protects you from fragility.

This is the same truth that shows up in Why Comparing Yourself to Others Makes Everyone Feel Worse, where imagined timelines quietly create unnecessary suffering.

One Million Human Responses

“That is the great equalizer. It’s the great revealer of everything.”

But what stays with him most isn’t just the diagnoses. It’s how people respond.

“Every single patient story is fascinating. I love to watch someone digest what I’m telling them. How do they live afterward? Do they fight? Who do they rely on? How do they handle it?”

Same reality. Completely different reactions.

“It’s one million individual stories and one million individual responses. No two people do it the same way.”

That’s the part most people never see. When the noise disappears, what’s left is character, values, connection, and perspective.

Your Brain Is Making It All Up

Here’s the part that quietly shifts everything.

“Every experience you encounter is completely interpreted, analyzed, fabricated by a big mushy piece of yellow tofu.”

Everything you think is objective reality is filtered through something fragile and imperfect.

“Everything that you see, as objective as it may seem, is subjective.”

Your arguments. Your insecurities. Your confidence. Your certainty that you’re right.

All of it is interpretation.

Neuroscience backs this up. Research from Harvard Medical School explains how perception, memory, and emotion are constructed processes, not direct reflections of reality.

That doesn’t make life meaningless. It makes it humbling.

The Perspective He Wants to Pass On

Dr. D’Amico talks about wanting his kids to understand this fragility someday.

“I want my kids to come to the ICU and take a walk around. But they’re too young to understand what they’re looking at.”

It’s not about fear. It’s about clarity.

“There’s no race, there’s no rush, there’s no timeline. The only thing you’re racing towards is death.”

That line sounds heavy until you sit with it.

If there’s no imaginary finish line, there’s no need to sprint toward things that don’t matter.

This perspective lines up closely with How do I start over when I have no idea what I’m doing?, where urgency is reframed as something mostly self-created.

What People Actually Care About

“Your beliefs are based on your experiences. And I get to experience every single life that I operate on.”

He sees people at moments when all pretense falls away.

“I spoke to 11 patients this morning. I watched that 11 times today.”

No one wishes they’d answered more emails. No one wishes they’d cared more about appearances.

They wish they’d been present. Honest. Connected.

Studies from The National Institutes of Health consistently show that meaning, connection, and presence matter far more to long-term wellbeing than status or achievement.

Fragility Isn’t Fear, It’s Clarity

“There’s no way you can do what we do without gaining perspective on how fragile it all is and how little it all is.”

That realization doesn’t shrink life. It sharpens it.

When you remember how easily everything can change, you stop postponing what matters. You stop letting small problems feel enormous.

Small or Special, You Choose

“You can look at the universe and feel tiny and insignificant.”

And then:

“It can also make you feel even bigger and stronger because you get this life, this opportunity to look at these things.”

Same facts. Different perspective.

Some days you feel small. Other days you feel lucky. Both can be true.

What This Means for You

Stop Racing Imaginary Clocks

“There’s no race, there’s no rush, there’s no timeline.”

Most pressure is self-created. Comparison turns time into an enemy when it doesn’t need to be.

Focus on Story, Not Status

What matters isn’t what you look like from the outside. It’s how you show up when things get hard.

Respect Fragility

Not with fear. With gratitude.

Appreciate the Ordinary

Every conversation, every thought, every laugh is happening inside something delicate and temporary.

A Better Way to Respond

“There’s nothing you can’t fix. The little irksome things are just part of the story. What’s in the way becomes the way.”

That’s not toxic positivity. That’s grounded perspective.

Life isn’t about avoiding problems. It’s about responding well when they show up.

Here’s the Thing

“If you don’t do what we do and gain some perspective on life, you’re in it for the wrong reasons.”

He was talking about medicine, but it applies everywhere.

Your brain, that fragile piece of mushy tissue, creates your entire experience of being alive.

That should make you humble.
It should also make you grateful.

Life is fragile. Time is limited. Most of what you worry about won’t matter.

But the fact that you get to experience any of it at all?

That’s everything.

Frequently Asked Questions

Who is Dr. Randy D’Amico?
Dr. Randy D’Amico is a neurosurgeon at Lenox Hill Hospital, where he performs brain surgery and treats patients with life-threatening neurological conditions.

What’s the main lesson from Dr. D’Amico’s work?
There is no race. Most pressure is imagined. How you respond to life matters far more than what happens to you.

Why does working with the brain change someone’s perspective on life?
Because the brain is fragile and temporary. Seeing how quickly everything can change forces a deeper appreciation for time, presence, and what actually matters.

What does Dr. D’Amico mean when he says everything is subjective?
Your brain interprets reality. Every thought, belief, and emotion is shaped by a physical organ that can be altered or damaged, which means certainty is often an illusion.

How can this perspective help with everyday stress?
It reframes urgency. When you remember how fragile life is, small problems lose their power and gratitude becomes easier to access.