I feel like this pattern of people lying to doctors and doctors adjusting things to account for it really messes with rigorously honest people.

A little while back I was reading how when they ask you how much pain you're in, with 10 being the most pain imaginable, they pretty routinely have people calmly say "12". So, if you're actually using the scale where you've probably never experienced more than a 9 and would be sobbing at an 8, so you say 7, they automatically assume you're in basically no pain because you said less than 10.

Kind of wish we could just speak accurately and take each other literally instead of playing games where we try to figure out exactly what lie to tell to convey the truth, but I guess that's not how most people are wired.