Tonight, my first shift back at the hospital, we performed an emergency trach change on a guy to remove the inside of a ballpoint pen from his trach tube.
To clarify, we removed one of these:
from one of these:
To answer your question, yes, he did put it there on purpose. To dig out boogers. Gnarly boogers.
After the lecture wherein I discussed the use of purpose designed tools for the extrication of boogers, he revealed that the last trach change he had, about a month ago, was because it got ripped out in a bar fight.
Yes, a bar fight.
You know, when I went into Respiratory Therapy, I somehow didn't think a part of my job in Emergency would involve extricating foreign bodies from various orifices. Hey, at least this one didn't involve butts.