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. A 23 year old female came to the OPD on 13/12/21 with the Cheif complaints of :- -Chronic involuntary movements of hands and legs during sleep and on long standing and sitting position. Sequence of events that might have led to the presentation of the patient:- =>Patient was born in 1998 First born NVD Non Consanguinous Appropriate to gestational age Cried immediately after birth No Antenatal and Natal Complications H/o Secretions from mouth 3hrs after Birth. =>At the age of