Letters from Our Readers

"I frequently meet patients with lupus whose disease has caused severe neuropsychiatric symptoms, and watching them emerge from their cognitive cocoons after immunosuppressive treatment is always breathtaking. Other autoimmune neurologic phenomena can present in equally bizarre ways. Some people with antiphospholipid syndrome-a condition associated with the formation of blood clots-can experience chorea (involuntary muscle movements)or acute changes in cognition (one of my patients was diagnosed after becoming markedly confused)."

"I encourage them to use A.I. as long as they don't directly copy paragraphs or sentences from it. I've found that A.I. often emphasizes different things than I do in my teaching; in some cases, the best student responses come from combining elements of the A.I.'s output with ideas they've considered in class. I've also noticed that A.I. improves the quality of their writing. My students might borrow phrases, but they do so in ways that help them articulate their own views."

Autoimmune diseases such as lupus can produce severe neuropsychiatric symptoms that may reverse dramatically with immunosuppressive treatment. Autoimmune neurologic conditions, including antiphospholipid syndrome, can cause chorea and acute cognitive changes related to blood clots. Understanding of immune–neurologic interactions remains limited. In higher education, instructors confront the challenges and opportunities posed by AI tools like ChatGPT. When students use AI as a drafting aid rather than copying, combining AI output with class ideas often yields stronger responses and clearer articulation. Use of AI can improve writing quality for students from immigrant and low-income backgrounds. In-person, paper-and-pencil exams remain a method to assess learning integrity.

Read at The New Yorker