You know this email. A PM at a small biotech writes on a Thursday afternoon. “We need our patient questionnaire in Spanish, French and German. Can you turn it round by next Friday? Budget is tight.” Great - a direct client. Quote it, deliver it, invoice it. Stop. Read that again. A patient questionnaire in a clinical trial isn’t a document. It’s a measurement instrument. If the Spanish version measures something different from the English source, the data across sites stops lining up - and...