I moved to the United States when I was young, so it was easy to learn English. My parents were already here, and they knew English already.
In the context of an adjective used to describe pain, we can look at the answer choices:
Silent pain seems like an odd choice for someone to notify a doctor about, so that is probably not the answer.
Thoughtful does not describe pain.
Responsive does not describe pain.
Severe pain would be a reason for someone to notify a doctor, so this is likely the correct answer choice.
Answer:
Third person uses pronouns he, she, his, her, etc. First person uses I and me.
I hope that helps you