He says he does. He's written it. But I was always raised actions speak louder and when he can barely respond to an email or text about his health it really doesn't seem his words add up to action.
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You just need to be honest with them and basically say what you just wrote. You tell them that you are really trying to help and have their best interest in mind. If they aren't showing appreciation for what you are doing that may be because of whatever problem they have. Maybe they are depressed and just don't see things the same way you do. I am just putting out a possibility. You only mention health as an issue but not what sorta health problem. The only thing I will say is that while it is nice to be appreciated you do things for others not for recognition but because you care.
Id just be honest with that person.