What cracks me up are the folks who think it's some kind of competition.

Who's got the worst condition or symptoms.

They ask how you are only as a lead-in for them to inform you of how bad their arthritis, bad hip, skin condition, asthma, gout, etc. is ........
I'm not trying to "outdo" anyone for this prize!

I've gotten to where I just say "I'm fine" and won't go into any specifics when others ask how I'm doing. It's a lose-lose situation with some folks.