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when somebody says Im lightheaded to me that sort of mainly means floating but that could be giddiness and it would not mean gait disturbance sure wouldnt need vertigo so lightheadedness what do you think of sure so when I think of that again always gets back to the history and so what I want to know is what provokes it when does it come on is it a feeling that anybody has well theyre just lying in bed be very very unusual from the point of view that lightheadedness that I think they could be on the basis of vascular so Im always looking and asking the person and does it happen in the upright position and specifically does it happen after they stand up or while theyre moving and moving around so if its if it happens when somebody first gets out of bed and they first stand up and they feel though Id hit it oh what are you thinking about one of the things that were always thinking about is or the stasis and what that means is that theres been a fluctuation of blood pressure and