It becomes an aveirah when it is done for no reason at all, and you end up with a quota of patients you must visit in order to return to learning. It becomes a real aveirah when those patients don’t want to see you (it happened to me the last time I did organized bikur choilim because of a mistake on the Shabbos list the organizers gave us – that’s human error, but this would force patients to accept visitors.)
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