I have a 99 F-350 with a 7.3 powerstroke and a 6 speed manual. I just bought it about 2 months ago and it was always running fine. The truck has 214,*** but only about 75,*** on a new motor and 15,*** on new trans. Now whenever I start it it throws out quite a bit of bluish smoke, and it sounds like its idling rough, kind of like a built up gas motor with an aggresive cam. When I get on the highway, it runs a little rough under load, and you can see bluish smoke in the mirrors, but then instantly it clears up, almost throws you back in your seat, and then theres no smoke anymore. It kind of goes off and on, so it makes me think its nothing too serious in the motor. Even when I have my big trailer on, its nothing steady, just on and off. I don't know much about these diesels or how to diagnose it myself, can't really afford the $$$ for the Ford dealer.