My wife has a 2003 T4R Limited, 4.8L, 201k miles, and it has started making a loud whine upon start up the past couple months (as it's gotten cold). Sounds definitely like the power steering pump, and the pitch changes as you turn the wheel lock to lock, so I'm sure its something related to the power steering. My question is, is the power steering pulley or bearing notorious or anything for making noise when they are going out? I was going to flush the power steering fluid this week and refill with synthetic and see if that helps at all, but figured I'd see if anyone else has dealt with this and had it be anything else. I'm pretty sure it's not a belt, and the noise goes away after the truck's been driven for about 5 minutes and started to get warm. I'd almost chalk it up to it just being cold, but we've had it for about 8 or 9 winters now and never had an issue. I've also got an '04 T4R 4.0L and get no sound at all from my power steering when started in the same conditions. Thanks for any advice!