"It would be worth it to do it now rather than wait until she goes. "
I second that for sure. To anyone who wonders about noise in the getrag, when they are right they don't make noise. It is begging, pleading and whining for help. AT THE VERY LEAST, PULL A SIDE COVER AND SEE IF THERE ARE ANY FRAGMENTS OR METALIC SLUDGE ON THE MAGNET. With a light and mirror, you can really tell quite a lot from this inspection.
The main shaft on the fwd is supported by the transfer case so that the pocket bearing (and everything around it) can be much worse than on the twd before the transmission just gives up. If you run it to failure, it won't likely be worth repairing.
If you are any sort of mechanic (would that be a redundant statement seeing as you have a first gen) you can do the job. The stuff is heavy and it is best to have a jack. Several owners have cut the floor out of their truck and that makes the job MUCH handier. There are write up on that as well. If you have some husky friends, you can do the job without anything but hand tools. One tool you will require is a really good snap ring plier set for the front of the countershaft. KD makes a tool that will do the job. It is a screw type (2012 is the number I think or is it 1220). Mine came from NAPA.
Lots of owners have done their getrag. EZGZ did a very good detail write up on the job. Check his post. Carolina cummins did his. I have done a few. Andy Mikonis started what he calls the Getrag preservation society. While I am not a founding member, I am a sustaining member in good standing. All you have to do to gain membership is to successfully repair you getrag. Sustaining members help with advise. I have been on the road quite a lot recently and am not reliable to answer questions but on about a third day schedule, I do check messages and will be happy to advise if you decide to do the job. Should you want to do that, PM with your email address and I will follow up. I prefer to use email rather than PMs so that I can more easily keep the stuff in order. I am home tonight and in the morning (Monday).
Again, best of luck.
James