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Mike's pictures show you what to look for. Valve stem seals are about two hours to replace. 53 blocks are only really an issue if you start it cold and beat the piss out of it before it's warmed up.
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My guess is you truck is not going to fall a part at the moment. So take breath and be calm.
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Oil is getting into the combustion chamber.
This has been going on for a long time now. My cold starts are perfect no hesitation fires right off. When I start the truck after work in the evening or whatever when it has been warm I fire it up and have a rough idle for like 10 or 12 seconds. Also accompanied by blue smoke. WhT the heck is the deal? Iv been putting up with it for a while but I worked on a 24 valve at the shop the other day that started and ran way smoother than mine.