I don't think I ever have properly screamed. Not when I was thrown off a horse who then tap danced on my back, breaking my spine (too painful to scream) or when I put a shoe on last week and my toes went squidge because a giant slug had taken up residence inside it.
The wolf spider in my sink recently caused me to swear and throw a glass up in the air. The glass didn't survive.
During labour with DC#1, I had a TENS machine. I accidentally shifted and whacked the dial up to 10. I couldn't scream then, either. I just flailed about, waving my arms, trying to point at the controls. The midwives went from panic to pissing themselves with laughter when they realised. Actually, similar happened today. I use a dual channel TENS for pain relief, the control is clipped to my waistband. I twisted and shuffled to get more comfortable and accidentally knocked the dials up to 10. Also couldn't scream, waved my arms about and my dog just looked at me like I was a crazy person. I am a crazy person! 🤪