Leslie, we had a girl do this the other day. New patient, and we were a little backed up (it was later in the day). Complained of coughing and green phlem. and a sore throat. Did not cough once while I checked her insurance, scanned in all her paperwork, scanned in her ids, added info to her demographics page and took and recorded her vitals. about 30min. Alice said she didnt her anything in her chest. Did not cough "spontaneously" the entire exam and discussion (a good 15 min at least). But when she apparently didnt get what she had decided she needed before she came in (whateve it was) she then has this cough she is obviously forcing out.