When I decided to sell my company, I already had enough. I live simply. I don’t own a house, a car, or even a TV. The less I own, the happier I am. The lack of stuff gives me the priceless freedom to live anywhere anytime. So I didn’t need or even want the money from the sale of the company. I just wanted to make sure I had enough for a simple comfortable life. The rest should go to music education, since that’s what made such a difference in my life.

So I find that teaching and the students keep life going, and I would never accept any position in which somebody has invented a happy solution for me where I don’t have to teach.  Never.

And like most nurses, I found myself running into certain frustrations. I started to look for ways to make a better argument, to advocate more convincingly for the people under my care. That led me to read up on civil law and produce a few research papers, and then I did a master’s degree in health science and also an MBA. All of that allowed me to see other sides of the problem. It also showed me how issues affecting nurses could be elevated by approaching ministers and other people in power with sound, evidence-based arguments.

In the whole of my career, there were very few training sessions that I missed. Even when I was pregnant, I trained all the way through. I was back training when my daughter was two weeks old. You've got to commit to this, because it can be really easy to walk away from the track, convince yourself, "Oh, well, I'll do it tomorrow, I'll catch up". You can't and what I say is it's all pennies in the bank. When I say that to my daughter, she rolls her eyes at me, but you put a couple of pennies in every day and when it matters, then you've got this bank to call on, as opposed to you can't stick them all in two weeks before.

Of course, my decision faced plenty of criticism. One of my fellow Japanese CEOs went so far as to call the plan “stupid” – notable, in a country where executives do not generally criticize one another in the press. Clearly, I would have to fight an uphill battle for cultural acceptance. But I was not deterred. A seismic shift demands that we adapt to a new landscape, and a seismic economic shift is exactly what Japan has undergone in recent decades, driven by the forces of globalization and digitization. The only way to compete in this interconnected internet age is to speak the language of the market – and that language is English.