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If one is truly acting selfless, that person would go WITH the choleh to the hospital and wait for him/her to be finished with the appointment or treatment. That is exactly what I do when I volunteer my time in this fashion. If they cannot afford to sit around and wait (as most people cannot), then they should at least structure their own appointments with the idea in mind of leaving enough time to get back to pick up the choleh at the pre-arranged time. I am not sure why this concept is so hard to be understood. People who are sensitive to the needs of others, have already “chaaped” it. Don’t blame the recipient of a kindness for being upset if the kindness is done in a way that leaves a bad taste. There are entire sections of dinim devoted to the proper way to be mekayeim bikur cholim.