In Florida when routine friends socialize the 'organ recital' often starts the conversation. Many people forget the ceremonial use of language. 'How are you' is merely a silence breaker not a solicitation of a litany of ailments. Part of the reason I like to curtail detail is that it gets repetitive and boring. I often reply by saying. 'Everyday above ground is good but it used to be great'. A variant opener to 'How Are you? "All the better for you asking" That said occasionally revealing
an ailment may be very helpful to others if you can steer them in the right (informed) direction. Similarly, useful advice is a two way street. However there is no substitute for this support group for advice.