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 25 year old male patient came to opd with CHEIF complaints of :- Involuntary movement of right upper limb 15 days back and followed by loss of consciousness for 2-3 minutes HOPI:- Patient was apparently asymptomatic 15 days back then he had involuntary movement of right upper limb followed by loss of consciousness for 2-3 minutes which is A/w TONGUE BITE. NOT A/w post ictal confusion, nausea, giddiness H\O pork intake 6 months back Patient had involuntary movements of right up