Stunning: Does it Exist? A Commentary

Abstract

Do diagnostic prescribed activities (dosages) of ¹³¹I cause stunning or not? In the first part of this section, Drs. Park and Gerard present arguments supporting the presence of stunning secondary to the administration of diagnostic dosages of ¹³¹I, and in the second section, Dr. McDougall presents arguments against the presence of stunning as a significant issue. In the end, each physician will most likely select the information that one believes makes the stronger argument or best supports one’s prior viewpoint. However, a third viewpoint exists to either a “yes” or “no” answer. It is a compromised viewpoint that holds: “Diagnostic doses of ¹³¹I result in a spectrum ranging from no stunning to significant stunning and even treatment.”