What do you think, or what would you do?

A little trick I've learned: If I feel the MD will fight me wanting to send someone in, and I really think they need to go, I call the family first and get their approval for send in. When a MD hears, "The family wants her to be seen in the ER", they will always appease the family and give the order. EVERY TIME!! It's irritates the crap out of some of them, but I'm not trying to make them happy, I'm trying to take care of my resident.