Finally sacked up and went through with it. Had a PA I got done in '06 taken out about 18 months ago but the hole was pretty much all but closed up. This time through it was a much easier piercing...the pain of the needle was worse but it was over and done with so quickly that compared to the metal catheter and the whole process of needle -> jewelry of the PA, this is a cakewalk. Can't wait for it to heal in a few months and be good to go. I've had a shit week since I broke off my engagement last Wednesday and I know BM crew will understand how theraputic this was. After the fact while I sat there calming my nerves I felt completely and wholly calm and serene.