I'm a physician and I've volunteered to help ill passengers on several flights in the past. Apart from a thank you card from a patient's husband, I've never received any sort of compensation or accommodation. And I've never asked. But I'm wondering if I could ask for my upgrade miles back from a Continental flight last week. I used 15,000 miles/$75 to upgrade to first on a red-eye flight. I had come off a 30-hour ICU shift and was headed straight to a conference after the flight so the red-eye was my only chance to catch some sleep. Instead, I spent almost the entirety of the flight attending to two(!) ill passengers. Is it reasonable to ask for my miles back? Have other docs gotten some sort of accommodation for helping out?