Should it be a mastectomy? Should it be a lumpectomy?

It was not an appendectomy.

Once you're insulin resistant, you're on your way to getting diabetes, which is what happens when your pancreas can't keep up with the resistance and make enough insulin.

It's called a lobotomy.

It'll have to be amputated at once!

Your pancreas makes insulin to bring it back down, which is good.

But cutting out the tumors of injustice, that's a deep operation.

They're waiting to be circumcised.

Yanko Yanev underwent an operation to remove his spleen.

I've never even assisted in an amputation.

In 1988, at the University of Minnesota, I participated in a small series of whole organ pancreas transplants.

Unofficially, this was a miscarriage but officially, for the records, it's an appendectomy.

And insulin resistance, as its name suggests, is when your cells get increasingly resistant to the effect of insulin trying to do its job.

I thought to myself, why not take the individual cells out of the pancreas the cells that secrete insulin to cure diabetes and transplant these cells? technically a much simpler procedure than having to grapple with the complexities of transplanting a whole organ.

We're pushing appendectomies this week.

So now, when insulin says to a cell,

I had become insulin resistant.

Now you've all heard of at least insulin.

This is a typical insulin injection.

Vasectomies are up 48 percent, according to the Cornell institute.

So wouldn't it be better if we could really tell, if the surgeon could really tell, whether or not there's still cancer on the surgical field?

More importantly, I don't have insulin resistance.

Women used to get really debilitating surgeries to excise all of the axillary lymph nodes.

You lay life on a table, and you cut out all the tumors of injustice.

What if obesity isn't the cause of insulin resistance at all?

I'll start with insulin, diabetes medication in the U.S.

This is a pen, it's called an insulin pen, preloaded.

Now failure to produce enough insulin is incompatible with life.

We know that 30 million obese Americans in the United States don't have insulin resistance.

But insulin accelerates the conversion of calories into fat.

The night that Lucas Cross left town I performed what I recorded as an appendectomy on Selena Cross.

And we do OK. Insulin's a pretty good therapy.

And then if that node has cancer, the woman would go on to get the axillary lymph node dissection.

I was in attendance for his appendectomy and we became engaged as soon as he could sit up.

Why couldn't we just inject the pancreas with something to regenerate the pancreas early on in the disease, perhaps even before it was symptomatic?

Adherence rates. How many people are taking their insulin every day?

Have you been keeping up a normal diet since the last shot of insulin?

Additionally, in November 1999, he had diverticulectomy surgery after being diagnosed with acute diverticulitis.

Youhei Sasaki whom you operated on, he's been recovering well up to yesterday.

So if you can be obese and not have insulin resistance, and you can be lean and have it, this suggests that obesity may just be a proxy for what's going on.

The daf 2 hormone receptor is very similar to the receptor for the hormone insulin and IGF 1.

If you present with a diseased pancreas we'd like to take cells from that organ.

I've had patients with the uterus removed hysterectomy who have a phantom uterus, including phantom menstrual cramps at the appropriate time of the month.

I became almost maniacally obsessed in trying to understand the real relationship between obesity and insulin resistance.

Now, most researchers believe obesity is the cause of insulin resistance.