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I spent a few years watching Medina be a miserable starter in the minors, so it's tainted my view of him.  I'm always looking for ways he can fail me, but honestly, he's been pretty stellar.  His slider values are pretty good, and his fastball has been more of a weapon than it was last year.
Before, Medina had to hope he could throw his slider for a strike, otherwise he was a meatballer (or just walked the rest of the pen into trouble).  But the guy is very hard to hit and his WHIP is fine because of that, even with the walks.
Honestly, while his pitch shapes don't resemble Nellie's, that's the kind of reliever he can be.
...But I still don't trust him.
Look, for their big-league careers:  
Medina: 2.63 ERA, 3.69 FIP, 3.78 xFIP, 6.3 H / 9.1 K / 4.8 BB per 9
Farquhar: 3.66 ERA, 2.23 FIP, 2.78 xFIP, 7.6 H / 11.4 K / 3.2 BB per 9
So if you like ERA, which is what did happen, then Funky Cold Medina is 1 full run better than Lord Farquhar.  If you like what "should" have happened, and therefore what is more likely to happen in the future, then Farquhar is your guy - again, by a full run.
*shrugs* Bullpenners go through rocky patches.  Some of em never get it back, some of em go back to being All Stars.  I would be more likely to believe that of the two, Farquhar would get it back when they hit that spot, but right now Medina's results have been pretty epic, regardless of how comfortable I feel with him.
As long as Medina isn't closing for us, I'm okay.  We seem to be using him in a way that gets the most out of him without betting the pen on him, and that seems like a good approach.
Just keep doing what you're doing, everybody...