2009 Ford F-350 Super Duty Questions

All 2009 Ford F-350 Super Duty Questions

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Have had the truck in the shop 3 times in the last 24 months. Blue smoke was coming out of the exhaust. dealership charged me $1800.00. Truck died while driving it. Dealer said they replaced an air fuel gasket for $32...
It sounds like it is coming from the driver or passenger door or window area. It only happens at wind speeds greater that 70 MPH, ie 55 MPH vehicle speed with a 20 MPH head wind. It goes away when we get behind a semi...
Idles very rough and can't even power up the slightest of grade barely has enough power to move itself on flat ground
If no symptoms are appearing, are these flushes recommended?