Oh my goodness! A little crumb when down my throat the wrongway and coughing ensued. Ow Oww Owwweee! I felt like that nicely sewn-togetherfascia ripped apart. Avoid coughing! Also avoid blowing your nose and laughing,even that polite little conversational laugh. My kids are very amusing. I mustleave the room and think sad thoughts when they get going.