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 "What's a microwave?" she asked her husband, Eiichi.
Yumiko was in the early stages of dementia, struggling with
vocabulary and unable to teach the kimono-dressing classes she had
run for 25 years.
The difficulty with everyday tasks has made life challenging for her
and Eiichi, who has been caring for her since 2008.
But she is also unable to deal with her finances - a situation that
experts say is increasingly common in fast-ageing Japan and that
puts trillions of yen worth of assets at risk.
Rika Kambayashi, a social worker in Kyoto, says she has seen many
cases of dementia patients withdrawing large sums without a clear
grasp of what they are doing or why.
In one example, she said, a woman in her 90s withdrew 20 million yen
($266,000) of her savings at a grandson's urging.
"She was saying she withdrew nine or ten. It took me a while to
realize she was talking about a number of banknote rolls,"
Kambayashi said. A roll is typically one hundred 10,000 yen notes.
"It was clearly a case of abuse."
Dementia has been diagnosed in more than 5 million Japanese. The
government estimates that number will increase to 7 million to 8
million, or 6 to 7 percent of the total population, by 2030.
The OECD has a somewhat lower estimate that dementia will affect 3.8
percent of Japan's population by 2037, still the highest among the
35 OECD states and far above the average of 2.3 percent predicted
for the group.
Japanese with dementia will hold about 215 trillion yen ($2
trillion) in financial assets by 2030, compared with 143 trillion
yen now, according to estimates by Dai-ichi Life Research.
Many companies now face risks in doing business with people with
dementia, whose families may return later to ask that the
transaction be canceled, said Jin Narumoto, professor of psychiatry
at Kyoto Prefectural University of Medicine.
A survey by Narumoto and three other researchers found about 30
percent of dementia patients and families have experienced financial
losses because of the condition.
Bank officials say tellers now regularly encounter people with
dementia who cannot use an ATM or who repeatedly ask the same
questions. Some behave strangely, accuse employees of theft or even
become violent.
Dementia is closely linked to age, and by 2030, about 31 percent of
Japan's population is projected to be 65 or older. As the country's
life expectancy is 84 years, the highest in the world, the problem
of dementia will only intensify.
REGULAR ENCOUNTERS
Dementia is caused by several diseases, with Alzheimer's accounting
for about two-thirds. It covers a range of symptoms, broadly defined
as a decline in memory and thinking serious enough to hamper daily
life.
Patients gradually lose their ability to count, tell time, or
recognize places and people, including close relatives. There's no
known cure, although there are medications to slow the condition's
progress.
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As banks encounter more customers dealing with dementia, many, such
as Nomura and Sumitomo Mitsui Trust Bank, are educating staff about
how to safely and fairly handle interactions.
"In the past, teller staff have been dealing with each case ad-hoc.
But it is important they sit together with people with medical
background and learn about dementia," said Masaru Mimura, professor
at neuropsychiatry at Keio University in Tokyo.
In Tokyo, five shinkins, or cooperative financial institutions,
jointly set up a non-profit called Shinkin Seinenkouken Support to
offer low-cost financial guardian services for people with dementia,
working closely with a local government.
Guardians are appointed by a local court and help their clients
professionally manage finances. They can act on behalf of their
clients and even cancel contracts or purchases if needed.
Perhaps most important, they help families learn to cope with the
ailment, introducing them to social welfare services.
But such systems have been prone to abuse. From 2010-2015, there
were almost 3,000 reported cases of misuse, with 21 billion yen
stolen by guardians, and many experts say there is little oversight.
To address that, Shinkin Support assigns two guardians for each
customer. It also conducts regular staff audits, much as banks do.
"Because we assign two people, our cost is twice as much as others.
But we think that is a cost we need to pay," said Hitoshi Hiramori,
director of Shinkin Seinenkouken Support. "We think of this more as
community service."
Several other banks offer products that allow guardians only limited
access for daily use, to prevent embezzlement.
Other organizations hope technology will provide a solution.
Money Forward <3994.T>, a fintech company that offers bookkeeping
and financial management services, is developing an app-based
warning system for suspicious transactions.
If someone who rarely withdraws money suddenly goes to an ATM seven
times in one day, for instance - a possible sign their memory could
be impaired - the app can alert the person's family, said Toshio
Taki, board director of the firm.
For the Okubos, such assistance would help reduce some of the stress
of everyday life - and help the couple focus on the normalcy that
remains.
"Even after she stopped using a wallet by herself, she still could
do other things completely fine, like taking pictures or walking,"
Eiichi Okubo said, reminiscing about 500-kilometre hikes they took
in 2012 and 2014. "All my friends today are people who I came to
know after Yumiko's dementia. So I feel I owe myself to her."
($1 = 113.22 yen)
(Additional reporting by Daniel Leussink and Tomo Uetake in TOKYO.
Editing by Gerry Doyle)
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