Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
With no annotations, the description carries the full burden. It does disclose two real behavioral traits an empty schema cannot convey: the results are scoped to the authenticated patient (no user parameter) and filtered to 'upcoming' appointments only. However, it says nothing about ordering, result limits, or the session/auth requirement implied by the ichilov_login siblings.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.