I don't use the term myself. I have to take my cue from the context of the conversation. Most of the time it's obvious whether commiseration or congratulations are in order. But I have not been able to detect any regional tendencies in the usage.
Googling for knowledge, I found a song "Sifaka" by the Pyronauts. Is there a way to listen to a song without buying it?
I always wanted an Easy Bake Oven but I don't think I ever asked Santa Claus for one, I don't know why.
I have an MGH Marathon Team meeting tonight.
n. Vulgar Slang
1. One that is extremely disagreeable.
2. One that is extraordinary or remarkable.
Wiktionary throws this in:
(slang) something special or outstanding; e.g. that bike is a real pisser. Often used in eastern New England and spelled pissa or pissah.
Well, that helps.