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 you spend that much time literally looking inside people’s heads, you start to see life differently. His perspective might completely change how you see yours.
The Brain Behind It All
“Everything that you see, every conversation that you have... it’s just a piece of mushy, like medium tofu.”
That’s how Dr. Randy D’Amico, a neurosurgeon at Lenox Hill Hospital, describes your brain.
It’s soft, delicate, and somehow responsible for every thought, feeling, and decision you’ve ever had.
When you spend your days literally looking inside people’s heads, you gain a perspective on life that most of us never will.
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. Celebrities, homeless patients, and everyone in between.
The same diseases affect all humans, and biology doesn’t care about your status, your job, or your follower count.
“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’s the reality he sees every day.
The things we obsess over, promotions, social validation, what people think, mean nothing in the face of actual fragility.
One Million Stories
“That is the great equalizer. It’s the great reveler of everything. And I think that gives me perspective every day.”
But his work isn’t just about endings. It’s about what people do when they’re faced with them.
“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?”
Every case is different. Every response is human.
“It’s one million individual stories and one million individual responses. No two people do it the same way.”
That’s what keeps him grounded, watching how people adapt when everything else disappears.
What Your Brain Actually Is
Here’s where it gets wild.
“Every experience you encounter is completely interpreted, analyzed, fabricated by a big mushy piece of yellow tofu.”
Everything you think is reality is just your brain’s best guess.
“Everything that you see, as objective as it may seem, is subjective. Every experience you encounter is completely interpreted, analyzed, fabricated by your brain.”
Think about that.
The fact that you can read this, understand it, and form opinions about it is all happening in tissue that could be damaged by a rainstorm.
That should make you humble. Every belief, every emotion, every argument is filtered through something fragile and imperfect.
The Perspective Shift
Dr. D’Amico wants his kids to understand this fragility.
“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, mortality. How easy everything can go away or change in a major way.”
He’s not trying to scare them. He’s trying to teach them perspective.
“There’s no race, there’s no rush, there’s no timeline. The only thing you’re racing towards is death.”
It sounds dark, but it’s actually freeing.
When you remember that time is limited, you stop rushing for things that don’t matter. You slow down. You start living.
The Lessons That Stick
“Your beliefs are based on your experiences. And I get to experience every single life that I operate on.”
Dr. D’Amico speaks to patients at the most vulnerable points in their lives.
“I spoke to 11 patients this morning. I watched that 11 times today. That’s just my morning.”
Eleven people facing uncertainty. Eleven ways of responding.
And none of them wished they’d worked more hours or posted more online.
They wish they’d been more present. Spent more time with people who mattered. Appreciated the little things.
The Fragility Factor
“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.”
This isn’t a depressing thought. It’s grounding.
When you realize how fragile life is, you start appreciating what you already have instead of chasing what you don’t.
The Universe Question
“You can look at the universe, every point of light in the picture is a galaxy with a million stars, and it can make you feel tiny and insignificant.”
But perspective goes both ways.
“It can also make you feel even bigger and stronger because you get this life, this opportunity to look at these things. I don’t know which one’s right. Depends on the day.”
You can choose how to see it. Small or special. Either way, it’s perspective.
What This Means for You
Stop Racing Against Imaginary Deadlines
“There’s no race, there’s no rush, there’s no timeline.”
Most of your stress is made up, social pressure, comparisons, false urgency.
The only real deadline is life itself.
Focus on Stories, Not Status
Dr. D’Amico is fascinated by how people respond to challenges, not by their titles.
What matters is how you live, who you love, and what kind of story you’re writing.
Remember the Fragility
“How fragile it all is and how little it all is.”
That’s not fear. That’s clarity. Gratitude follows perspective.
Appreciate Your Brain
This mushy, delicate organ runs your entire life.
The fact that you can read, think, and feel anything at all is a miracle you probably overlook daily.
The Daily Practice
Dr. D’Amico carries that awareness with him into everything he does.
When small problems pop up, he reframes them.
“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 a modern version of stoicism.
Life isn’t about avoiding problems. It’s about responding well to them.
Your Perspective Reset
You don’t have to walk through an ICU to gain perspective. You just have to pause and pay attention.
Ask Better Questions:
Instead of “Why me?” ask “How do I want to respond?”
Remember the Bigger Picture:
Will this matter in five years? At the end of your life?
Appreciate the Ordinary:
Every conversation, every breath, every moment of connection is extraordinary.
Focus on Stories, Not Status:
The story you live is more meaningful than the image you project.
The Bottom Line
“If you don’t do what we do and gain some perspective on life, you’re in it for the wrong reasons.”
Dr. D’Amico was talking about medicine, but the lesson applies to everything.
Your brain, that “piece of mushy, medium tofu,” creates every thought and emotion you have.
That should make you humble. It should also make you grateful.
Life is fragile. Time is short. Most of what you worry about doesn’t matter.
But the fact that you get to experience it, to think, to feel, to connect, that’s everything.
That’s the perspective of someone who literally looks at the brain every day.
And it might be exactly what you needed to hear.
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