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sick/refund/miles/cash

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I came down with the flu just prior to my (shoulda been) trip this evening. I can get a dr. note, i was prescribed antibiotics.
2 separate tickets-I know they are a little schizo, sorry-

Ticket 1
paid cash @$200
upgraded seat $70

ticket 2
25k miles coach
upgraded seat $60

upgraded both tickets to first for 10k each way
paid $75 late change

Just called to cancel both, the Indian gentleman was a little unsure as to what planet we were on, what can I expect from a sick/cant fly note from the doctor and what should I expect to pay to redeem my 45k miles?

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