how hard is it to keep your friends close

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When I had an open heart surgery five (5)years ago, I met this sweet and kind nurse that I get fond talking with until we became real friends. Im not really sure what ever happened to our friendship but it somehow felt like its in its downfall. We used to talk alot and always keep in touch, but I was undergoing a huge amount of stress during my first year of recuperation. I remember telling her about my problem and she told me about the worst problems that other patients are suffering and my impression that time might have offended her in a way. I told her that I don't take comfort on someone else's suffering to make me feel better, at the lowest point of my life, i'd really like to jump start my life, start over and to matter so I could feel useful, she started showing me the worst of the worst but I refuse to look at it. It won't comfort me to see other people that are experiencing worse than me and feel that I'm luckier than them coz that's not how I see life. From then on, she stopped talking to me. I keep in touch but she never replies, whenever I see her on my YM, I just say hello but she never cares to answer back. It hurts, I already said sorry for whatever that hurt her, but I also don't understand why she never even give me a chance to redeem myself and to keep the friendship alive. Its as if, for that single moment all the good things will have to suffer. It takes two to keep any relationship strong. What can you do, if you're the only one who is willing to keep it surviving? How can you hold on if the other is much willing to let you go? I'm not sure if I really can expect much from younger friendships that only lasts about a year or two, but not all people are like that, I only met one of my bestfriends in college and we're still okay. I'm not just so sure about this one, but it really hurts me to think what's happening...