I also particularly hate accepting that I might be above a five because that's like accepting defeat, accepting that you are in way over your head and you need help. It's this weird psychological thing where you play games with yourself because you know you cannot possibly be a ten (even if you might want to say a "10") because you know that you've probably been through worse or could be going through worse (it could ALWAYS be worse). I typically try to refuse an answer until they coerce a number out of me. Anyone who has been to the ER more than a few times knows that one of the first questions that is asked of you in triage is to rate your pain on a scale of 1 to 10.
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