The massive trauma to the surrounding tissue from the impact is almost as bad as the penetrating wound, at least in my experience. Hurt for a long time.
Uhhhh, I dunno. I didn't scream and jump around like that when I got my piercings ...
I wonder what the shooter would have told the judge if the shootee had died. I'm not thinking "he wanted me to do it" is a valid affirmative defense ...