When I bought my '03, it had 245K and wouldn't start if it was 60 degrees out. A rail pressure gauge showed that it would not build more than about 850-900 psi during cranking. I pulled the injectors and carried then down to Griffin, GA to Garmon's Diesel and paid Jeff or test them on his bench. The return flow was off the chart. I bought a new set of Bosch Motorsports 50hp injectors from Sheid and put them in. Now it starts right up even after sitting outside overnight in near zero temps... without preheating. The reason I'm telling my story is that my symptoms were similar to your coworker. With the worn out injectors, if I hit it with the smallest shot of ether, the engine speed would spike and spin the CP3 faster, and once it hit about 1100 psi in the fuel rail, the ECM would tell the injectors to turn on and it would start and run smoothly.