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Grade 4 astrocytomas are aggressive brain cancers. Prognosis varies but typically includes surgery, radiation therapy (RT), and chemotherapy (CT). She should see her team regularly along with other experts if they feel it necessary. New symptoms such as fever, seizures increased headaches or behavioral changes mean that we need an immediate discussion so we may start correctly with the treatment regime too isolated be too. Medical guidance is important in deciding what will work ultimately.

I would suggest to consult with the patient's doctors and nurses directly involved in their care for accurate information and updates regarding their condition and share your concerns directly with them.

Talk to your doctor of your symptoms and they can recommend appropriate treatment options like therapy, medication, or a combination of both. Practice good sleep, avoid caffeine and electronics before bedtime and establish a regular sleep routine, this can help improve insomnia symptoms.