Forgot to say that TWA flies from Pennsylvania. I have gotten friends in emergencies the TWA senior citizen fare if you qualify. TWA is much more generous about critical care low fares than American or United. It doesn't cost very much at all. Please contact TWA. They are not usually full, sometimes flying half empty to the islands. TWA will normally waive advance notice, etc. They even helped out my friend who needed to come on Christmas Eve for only $550 roundtrip from Ohio for critical illness.