Lobotomy Surgeon

If you would draw a card while your library
has no cards in it, instead exile the top ten cards of your graveyard, then shuffle your graveyard into your library. If no cards are exiled this way, you lose the game.
Insanity {1}{u}{b} (When this card is put into
your graveyard from your library, you may
cast it for its insanity cost.)