I was in charge of the 57th annual meeting and the theme was “Spinning the evidence of pediatric kidney disease”. The word “spinning” is used to refer to the process of making cotton or cocoons into threads by putting them on a weight and drawing out the fibers, or figuratively connecting words to form a sentence. I chose the theme of this meeting with the idea of connecting evidence and combining evidence to form actual clinical practice. I believe that actual clinical practice, clinical trials, and research are a series of things. When these are organically connected, they create a driving force and lead to better medical care. To move things forward, ability, effort, environment, and luck are all necessary. In the environment, the support of people is one of the most important factors. I have treated many children with kidney disease over the past 30 years. In this article, I would like to look back on my career, describe various aspects of my clinical practice, clinical trials, and research, and convey a message to young physicians as I aim to further my own efforts.
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