INTRODUCTION This is online E log book to discuss our patient’s de-identified health data shared after taking his signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs 60-year-old male daily wage laborer came to OPD with complaints of- Chief complaint - patient came to hospital 1 week back with complaints of anuria and constipation. History of present illness - patient was apparently asymptomatic 1 year back, he developed anuria and went to Sri Chakra hospital where he received 6 dialysis over 13 days. He as normal till 1 week back when he developed anuria again and came to our hospital. He has received 4 dialysis sessions in 1 week. History of past illness - no history, 1 st time admission in hospital Family history - no significant family history Personal history - smokin