As with Shuffle the graphic represents an unfolded cylinder but with two rotatable rings around its girth. Each band contains nine blocks.
There are three vertical slots which intersect these bands; the slots will always carry 3 blocks although their length is for four.
At any one time, if a block in one vertical is moved up or down, the blocks in the other slots move simultaneously in the same direction.
Horizontal bands may be rotated left or right as many places as you wish (but one place per click).
Your objective is to create a 9 letter word, all letters different, in the top band which has some relevance to the problem's title (a medium perhaps). As a secondary bonus the lower band should confirm both your word and the title.