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Complexity in healthcare systems in first\u2010world countries has been well elucidated, however, data from third\u2010world countries is still scant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and\u00a0Methods<\/jats:title><jats:p>We present four cases each from three different organ systems\u2014chronic kidney disease, alcohol use disorder, and heart failure\u2014in the backdrop of our healthcare organization. We present our analysis of the complexities faced clinically and, in our local healthcare system which led to these events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of these cases showed that patients with chronic kidney disease had vertebral\u2013spinal pathologies due to poor infection control measures during haemodialysis. All these patients were young with a long history of secondary hypertension. 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