I used to know someone who would regularly rate headaches/migraines as a 10 when I asked them how bad it was, and like, no, it's clearly not a 10, because you're standing up talking to me. A 10 is beyond curled up in the fetal position unable to open your eyes through the pain. I get that you are used to these headaches, and can overcome a lot of the pain - but that's still not a fucking 10, that's like a 6 or 7 at most. Lying about it means I can't accurately judge how to help you.

I've had tension headaches where I've spent hours on the shower floor in the middle of the night and I'd still rate them at most an 8 for the very worst ones where I couldn't get up

I was worried I had testicular torsion but didn't think my pain was high enough for it, but there's only so many times you can read stuff like "getting it addressed within X hours has Y% chance of saving the testicle" before you came lol. (It was actually a UTI or something.) The doc told me that it's a 10, "well, more like an 11."