Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor.. Im working as a private nurse, and my patient was diagnosed to have a gbm4.. on sept 2014 she had her operation (craniotomy), and it was indeed successfull, she had her normal activities of daily living, but on Dec 2014, she begun to detoriate,doesnt have her balance, have a slurred speech, and memory lost. she was rush in the hospital and was diagnosed to have sepsis, she was given antibiotic, ct scan reveals enlarged tumor, and doest advised to undergo surgery because of her weak situation. she have an NGT, an IVF of PLR, and Foley balloon catheter.
[|AI|]  As per your patient condition I suggest improving her physical health and general health parameters. Once she improves with that then she can go for removal of tumor with surgery. You can also check with euro surgeon for other options. I have not seen and done physical examination for your patient, but I suggest if needed in emergency you can check on surgical opinion too. Because the tumor signs and symptoms will not allow her for recovery until and unless you go for removal surgery. Also need to see, is it benign or malignant. If its malignant then even with poor but manageable physical health parameter I suggest going for surgery. Do take care of patient as far as you can and keep supporting her for symptomatic relief till the time she recovers. Here I have given general guideline, but you can also check with a couple of euro surgeon for having better option to save her. Take care.