CKD ON MHD 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' 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. Chief complaints: A 30 year male auto driver by occupation presented 2days ago with c/o grade 4 SOB,fever-high grade since 5days. HOPI: Patient was apparantly asymptomatic 1year back and then he developed h/o intermittent chest pain and Sob ,and was diagnosed with diabetes and HTN 1 yr ago,on irregular medication and after that did not consult the doctor. Came to our hospital last month with grade 4 SOB diagnosed with HFrEF,Renal failure with hypertension (?Cardiorenal) and Dialysed in view of acute pulmonary edema 5 times last month,creat was 5.6 And then discharged on 2/6/2022 On Satu