Needles and pins and skewers, oh my!  I bet that Dorothy never did any of this in Oz.  But if she did, let's hope the Scarecrow did his homework first.  For you lucky folks, I have a few pointers... get it... pointers... Oh, well, anyway...

Let's talk about sterility, shall we?  Regardless of what you poke into her perky little pink buttons of joy, you need to make danged well sure that it's sterile, that is, free from germs, dirt, and other microscopic nasties.  If not, she could end up with infections, tetanus, or in the case of pokers used for similar activity in the past, hepatitis, AIDS or STDs - some of which might be worthy of a retaliatory letter-bomb in your mailbox or underwear.  In the case of hypodermic and acupuncture needles, they are typically purchased sealed, usually sterile and, if left that way until it's time to play, will remain safe until you use them, as long as you just use them once.

There really isn't a need to re-use these.  You can get them in fairly large quantities and they range from extra-fine - the kind that would make a bee sting seem like amputation in comparison - to damn near PVC pipe-sized.  Needles are measured by guage.  The smaller the guage, the larger the needle diameter, the bigger the "ouch" factor.  In order to give you an idea of what I'm talking about, most hypodermic needles run from 32 guage (extra fine insulin needles, for example) to 16 guage (tetanus and Hepatitus-type shots.)  Piercing needles, used for actual body piercing, are typically 14 to 8 guage, though some really adventurous types have gone as large as 4 and 2 guage.  That, friends and neighbors, is about half to two-thirds the width of your typical love bud and should more than meet the needs of even the most die-hard hole-punchers out there. 

My point is, whatever look or effect your stabbing for is possible with sterile needles made for the purpose of poking through skin, so it's really not necessary to use things found at the local Ace Hardware store or railroad supply yard.

If you do decide to re-use any of these, or to use anything else - safety pins, straight pins, tacks, nails, barbecue skewers, railroad spikes, or sharpened PVC - at minimum you should always make certain that you swab them down with diluted bleach.  Boiling them for twenty minutes or so is even better, and putting them in a pressure cooker for about half an hour before you slip them into some wanton nipple is about the best.  Some folks that are really big into piercing body parts buy something called an autoclave.  They generally do this right before they start medical school and after they've taken out a rather large loan, but if you really want to be safe you'll know you're in good company.

The safest thing to do after you've used them once, though, is to dump all your little pokey things in a needle-proof location and trash them.  If you still choose to hang on to your gold-plated railroad spike of joy, wipe it down after you use it and then boil it like the dickens before you use it again (have I said this already?) and only use it on the same person.

Not only should you sterilize your implements of torment, but you should also sterilize the skin that will be the bull's eye for your love darts.  You can use iodine, rubbing alcohol, benzalkonium chloride (BAC), or any number of new disinfectant agents that have come out in recent years.   Iodine tends toward coloring skin a sort of putrid yellow, so don't think it's jaundice.

Ok, now that I've hammered on sterilization for a chapter or two, I'll talk about the Matt Nicholson Continuum of Needle Pain and Agony - The MNCNPA for short (pronounced em-en-cee-en-pee-aye).  Basically the MNCNPA works like this:

The bigger the needle thing, the worse it will hurt, and the longer a needle thing stays in the skin as it's being inserted, the worse it will hurt. 

So, if you have a teenie-weenie acupuncture needle and you poke it straight in and out of a shallow fold of skin there will be almost zero pain; while if you take a heavy gauge needle twice the thickness of those old tetanus shots and run it through the skin for several inches before letting it see daylight, she'll likely need a gag, a thick one. 

At the moment we are just talking about needles and needle things, stuff that's less than about 1/8 inch in diameter or so.  If we were to graduate to your garden variety gold-plated railroad spike of joy and proceed to pretend that her breast is the last railroad tie in the Trans-Continental Railroad, you can pretty much bet that you and the neighborhood will all be deaf by the time she's through screaming. 

I refer to the zero pain low end of my continuum as "What, is it in yet?"  I refer to the railroad spike end of the continuum as: "Holyfuckwhatthehellgoddamnareyoudoingthat's mytitnotagoddamnrailtoadtie!!!" This will soon be acknowledged as the longest word in the human BDSM lexicon, by the way.  Unfortunately for you railroad engineers out there, I do not advocate the use of railroad spikes, nor do I suggest piercing through anything but skin or nipple.  Repeat after me... "Booby is only..."  There you go.

Since we've eliminated railroad spikes and whole breast skewering from this discussion, I will lower the high end of the MNCNPA scale to a term I refer to as just "Holyfuck!"

"Holyfuck!" refers to such things as barbecue skewers, twelve penny nails, ice picks, Baby Hughie diaper pins, hypodermic needles meant for piercing elephant hide, and the like.  When engaging in "Holyfuck!" of your sub's nipples, you might want to consider having them pierced by a professional some time in advance so that you already have a round hole in which to put the round peg.  Otherwise your partner's response to a bit of innocent "Holyfuck!" play may be quite similar to...  "Holyfuckwhatthehellgoddamnareyoudoing that'smytitnotagoddamnrailtoadtie!!!"

Also keep in mind that the red flowing stuff that is likely to begin seeping out from around anything much larger than a "What, is it in yet?" sized hole is called blood.  Remarkably, there is not always a lot of this to be seen, at least until you begin to remove the fifteen rows of pink and blue hypodermic needles you've inserted in artistic symmetry up and down the length of her bound bosom.  You should expect some in the least, and more the closer to "Holyfuck!" you go. 

Most modern practitioners warn that you need to wear specialized protective garments when dealing with blood, body fluids and politicians.  Some recommend nitril gloves, others recommend gloves and face masks, and a few recommend full decontamination suits of the variety used in dealing with the African Ebola virus.  Frankly, I find these suits a bit cumbersome, and they play hell with whacking off while you admire the newly created work of art that is tied, pin-cushions forward, in front of you.  If you pay the extra $450,000.00 for the built-in remote controlled life-like pussy vibrator, you might be just fine.  Regardless, when dealing with politicians, always get the suit.

Politicians aside, if she's a regular partner I would assume that you swap all sorts of body fluids anyway, so you might ask, "Who really gives a flip?"  Well, your every day body-fluid swapping doesn't usually involve blood.  Stuff like spit and cum doesn't have quite the transfer potential that blood does, so even a partner previously believed to be safe as mom's apple pie could be more dangerous if she does happen to be harboring some bug.   If she's not a regular partner, or you use a condom more religiously than you recite your hourly prayers, some precaution might definitely be a good idea.  It's up to you to choose how much of a daredevil you want to be, but keep in mind that some of these things won't go away with antibiotics.

! - There has been no long-term research into the effects of these types of activities.  Chances are there never will be.  The threat of infection at the puncture site should always be a concern.  Sterility of the site and the instrument is not an option, so give strong consideration to using instruments created for that purpose.  In addition, not only are sealed hypodermic and acupuncture needles sterile, they have beveled points designed to puncture flesh and decrease resistance and, thus, the possibility of scarring. 

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