Pubdate: Sun, 28 Feb 1999 Date: 02/28/1999 Source: Chicago Tribune (IL) Author: Joy Loverde Section: Sec. 1 CHICAGO - In response to your article "Painkillers deterring suicides" (News, Feb. 21), doctors are being urged to use more drugs to ease pain, but those of us who have spent long periods of time with people in pain know patients rarely speak up for themselves and tend to suffer in silence. Pain management is a family affair. Get involved. First, ask your loved one if he/she is in a lot of pain. If the answer is "yes," tell the doctor. If your doctor won't prescribe larger doses of painkillers for fear of disciplinary action, call your state medical board and report the incident. For terminally ill patients, ask your physician to prescribe hospice care as an alternative. It is a crime that anyone today suffers from severe and persistent pain. Joy Loverde, Author, "The Complete Eldercare Planner."