The context of the following conversation is Jan had broken both their arms but was thirsty, so Addison filled Jan's mouth with water.:
Addison says Jan needs lots of help at the moment..
The friend responds How come?.
Addison responds She broke both of her arms..
The friend responds How unfortunate!.
Addison responds I have been having to feed her and get her drinks when she is thirsty..
The friend responds You're so helpful..