As a patient, I think it is MY job to concentrate on getting well. It is NOT my job to gather and fax reports to and from this and that medical office. It just isn't. If I was well enough to do things like that, I probably would not be seeking treatment.
And ok, I am lucky to have so many very good friends who offer to help me out. But if you are going to offer to help me out and we set up something (such as a ride into San Francisco for a consult), it really is no help if you arrive so late that I miss my appointment or that you don't show up at all (and don't call). If you cannot help, do not offer. It is as simple as that.