This is an online e logbook to discuss our patients de-identified health data shared after taking his/her/their guardian's signed informed consent. Here we discuss our individual patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. Date of admission- 16/08/2021 A 70-year-old man, who is a farm worker by occupation, presented to the hospital with - Pain in the epigastric region since 4 days - Constipation since 4 days - Burning micturition since 10 days  - Decreased urine output since 10 days  - Shortness of breath and swelling in feet since 1 month - Backpain and fever since 2 months HISTORY OF PRESENT ILLNESS - Patient was apparently asymptomatic 4 years ago and then developed cough, fever, swelling in the legs for which he visited a local hospital where he was diagnosed with Chronic Renal Failure - Referred to current hospital for treatmen