Mine is going strong. The odometer broke the day I drove it home @ 306,000 several years ago. I did have to replace the differential and injectors.
The "THING" you must be aware of is the little known fact that the ball bearing eccentric that drives the two vacuum pods will chuck the balls/cage into the timing case.
Ahem... ... ... This is bad.
If there is a rattle and/or squeek from the accessory drive, this bearing (cage and balls) are looking for a new home,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, inside the timing cover.
I rebuilt my acessory drive and replaced the p. s. pump/hoses etc. etc. for like 600. 00 and that included the two new vaccum pods. everything. You can do the same job much cheaper if you skimp/take shortcuts and hope for the best by simply replacing that bearing. I went the added mile on mine because I love overkill and I will drive this truck well into the future.
After the above rebuild, there was almost zero noise from the accessory drive, other than the two vacuum pumps plungering away.