Hello! This is Likhita.M This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians singned informed consent. Here we discuss our individual patients problems with an aim to solve the patient’s clinical problem with collective current best evident based input. This E blog also reflects my patient cantered online learning portfolio and your valuable inputs on the comment box is welcome. This is a telemedical case report of our patient. ALL THE HISTORY WAS TAKEN AS A TELEPHONIC CONVERSATION A 38 year old male, resident of a West Bengal who is an assistant professor by occupation has reached out to the hospital with CHIEF COMPLAINTS OF - Pain in both the legs since 3 years Whose severity increased since 2 years - Lower backache since 2 years - tingling sensation in his limbs since 1 year HISTORY OF PRESENTING ILLNESS - Apparently the patient was asymptomatic 3 years ago when he developed pain in his lower Limbs , which