The woman who walked into the needle exchange that night was filled with piercings. Head to toe, she likely had hundreds of barbs and holes in her body. She held a trashcan-sized biohazard container full of dirty needles. A female volunteer met the woman an asked her about her life, her drug use, her struggles. The pierced woman shed her clothing to reveal the places she had creatively found to inject drugs. Veins stripped, she was having trouble finding more sites.