Okay, bad analogy... I admit it. But it's early and I've only had one
cupajoe.
I was helping someone out with some VBA code in their Access 2003 database.
(It was not a situation where moving to VSTO was an option, in case you were
about to suggest that.) I was just helping them get something working. It's
really painful coding in VBA after years of .NET, not only the IDE experience,
but going backwards with things like instantiating a variable (which you have to
do separately from code to give it a variable). There are things I know how to
solve, but the way I would go about it (the .NET way) isn't an option and I have
to find alternate routes. But, heck, it was a rainy weekend, and I hammered
through it and put a big smile on the faces of these guys. 
Don't Forget: www.acehaid.org