I'm not any good at diagnosis, but my 350 vortec doesn't idle nicely, cold or warm. It kinda pulses(?) or it seems like it has a cam in a way, If that makes sense. Going down the road if seems to do alright, but as soon as it idles it's not nice. What do you fellas think? IAC, tune up, something else? I can send a video of it running if that helps.