My residency director and co-director for next year have sent me emoticon-loaded emails already. Pretty interesting, to say the least.
And...the paper is going through another set of revisions this week. I hope this is the end! I've cleaned it up enough that it should be good, and the editor I talked to from Annals of Emergency Medicine said they would be very interested in it, so...I think higher journal impact factor is the way to go.