[Verse 1] Madame Gagnon, seventy-seven, widow six months back She's stopped eating, barely speaking — chart that, don't react Pull the MoCA, Quebec French version, watch for bias first Low schooling skews the numbers, hearing loss makes it worse Is it grief, or is it neurocognitive decline? Delirium, depression, or polypharmacy's design? *Trouble neurocognitif majeur* — that's the DSM term Families say *démence*, say *Alzheimer* — let that register burn [Chorus] *Bewerte sie genau, schreib präzise auf* *Kein Anglizismus, kein falscher Lauf* Screen the mind, document the soul MoCA, GDS, GAI — make it whole *Die Sprache ist die Brücke — halt sie rein* Clinical, exact, precise, and clean [Verse 2] GDS-fifteen questions, geriatric depression scale GAI for anxiety, loneliness trails a different trail Suicide risk in older men — don't let that line go quiet Recent widowhood, social withdrawal — assess it, don't deny it Differential's a four-way crossroads, you can't afford to rush Depression versus delirium versus grief — probe before you hush Normal grief or complicated? Six months, she won't eat That's a clinical datum, not a footnote — put it on the sheet [Chorus] *Bewerte sie genau, schreib präzise auf* *Kein Anglizismus, kein falscher Lauf* Screen the mind, document the soul MoCA, GDS, GAI — make it whole *Die Sprache ist die Brücke — halt sie rein* Clinical, exact, precise, and clean [Verse 3] Now write the *note d'évolution* — tense and register matter here Present tense for observations, past for what she said last year *Soutenir* not *supporter*, *aborder* not *adress* *Être à l'aise avec* — delete that anglicised mess *Éventuellement* means one day, not eventually — beware Your geriatrician's note lists AVQ, AVD profiles there Read the OT and the social worker before you sign your name An interdisciplinary file means everyone's in the same frame [Bridge] Here's your rare word for the day — *anfractuous*: full of winding, sharp complexity Like the differential you're mapping, nothing resolves conveniently Bilingualism effects, illiteracy, unfamiliar test — that's anfractuous terrain Document each caveat you navigated, make your reasoning plain The *rapport d'évaluation*, the *plan d'intervention* — structured, sourced, explained Graded on clinical and linguistic standards both — no shortcuts entertained [Chorus] *Bewerte sie genau, schreib präzise auf* *Kein Anglizismus, kein falscher Lauf* Screen the mind, document the soul MoCA, GDS, GAI — make it whole *Die Sprache ist die Brücke — halt sie rein* Clinical, exact, precise, and clean [Outro] Madame Gagnon deserves a clinician who reads between each line Who knows *pertes cognitives* from grief, who keeps the language fine *Präzision ist Fürsorge* — precision is the care you give Write it right, assess it right — that's how good practice lives
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