This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here's a case that I saw of a 22 year old with Pedal Oedema and Shortness of Breath- A young daily wage labourer presented with complaints of bilateral lower limb swelling from past 1 month, patient also had complaints of shortness of breath on exertion since 20 days which progressed to SOB at rest from the last 5 days. For these complaints pt was taken to a nearby hospital and started on medication (no documentation) which he eventually stopped after 3 days claim