Thanks, John. I did the lifters in the truck some time ago - I was revisiting that experience in my mind when I read your posts about doing the same. NOT A FUN JOB (My back still hurts - but it does make us feel like surgeons!) There is a lot of talk about lifters acting up but in my case it was clearly not a lifter or an injector.
It actually ran pretty good but this winter it was smoking quite a bit on start up (and missing) then it would all of a sudden clear up. That made me suspicious of a valve issue. But like you the constant tick/knock and bit of rough idle drives me absolutely crazy. I'm not sure where the oil is coming from - I would guess the valve stem. The cylinder shop should be able to let me know. I'm hoping that the knock is not the rod bearing, possibly damaged from the head and piston colliding where they had build up. Hope also that it is not the wrist pin.
One other thing that I found was that after I installed the energy suspension motor mounts (same as Casey just did) that I felt an increased vibration. I just inspected them and noticed that the upper mounts only contact three of the metal tabs on the poly bottoms - on both sets. I suspect that the vibration of the engine caused intermittent touching of the fourth tab causing the vibration. The uppers contact all four tabs on my old rubber mounts. Always something...
Randy
2006 GMC 2500HD Duramax Allison Crew