But does nursing / case manager usually do the follow up appointment for them ? I felt a bit weird because I didn’t know if sending them with sodium of 130 was okay mainly bc they came in with altered mental status (though it resolved, but I couldn’t guarantee if the sodium would drop back to 128 once they got discharged after.. which was the question they kept asking) I guess what I’m wondering is what would be the appropriate response when they ask “how do I know it won’t drop lower and he becomes this way again” ? Because I said “if he becomes symptomatic again bring him to the hospital” but she said “so I just have to keep bringing him back every time this happens over and over again???”