If you've been in the fire service for longer than a cup of coffee you've heard some form of this question. My approach on the answers has been formed over 20 years of gross stuff.
Remember these couple of things; They have no idea what they're asking, and they have no concept of what the worst thing you've seen actually is.
When people ask this question they're looking for entertainment, so give it to them.
Give them something they can relate to, the things that are universally the worst. Pee, poop, bed bugs, GI bleeds, and hoarder bathrooms.
Our 'middle shelf' worst is 'top shelf terrible' for a vast majority of the population. Give them the middle shelf and move on! If that's not enough then you probably don't want to be talking to the person in the first place.
Bonus, I give you a couple stories to make your own and drop on an unsuspecting party-goer. Enjoy.
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Thank you for listening and let's all keep working to be more capable and durable both on shift and away from it.