Afghanistan, Feb. 13 -- Written By: Jalil Pouya

The man can't see or hear and can't move by himself. The woman has trouble hearing, can't talk, and has nerve issues. Even though she's not in great health, she manages the elderly couple's affairs. She goes by "Ziajan" in her biography but her family calls her "Paiyish."

Paiyish doesn't accurately know her age but estimates that she is around forty years old. She complains of stomach pain and shortness of breath, and her walk is unsteady. She struggles to speak without running out of breath. She says, "I have shortness of breath and cannot breathe properly."

Suffering and anxiety have etched deep lines on her forehead. Her face is drawn and lifeless. It seems that life's hardships have r...