1stE53, back is still jacked up, surgery not scheduled yet... (damn HMO needs therapy to fail first)

Godfather, I'd do the oil change first (not worrying about the flush just yet) and make sure to catch the oil in a clean pan so you can take a good look at it and analyze it for any debris. You would be looking for any signs of a shiny gold colored metalic flake with a bright flashlight, and for any plastic debris to come out with it... maybe let the old oil drain through a funnel with a screen/strainer in it in case there is any debris.

And I say to do this before a flush so you can properly analyze the oil for any details/clues to the problem.

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2003 4.6is