The 4.3 in my truck is still a work in progress. As far as I know, it is the original engine from 1988 with 108,000 miles. I have the original window sticker and registration. It was bought new as a fleet truck for a paper company, so it was probably maintained well enough to start with. The last owner was not so nice to it, as I bought the truck sitting the guy's backyard in barely running condition. Every single sensor on the TBI system was bad, the fuel pump was weak, it had a broken power steering pump bracket, no exhaust system, non-working 4wd, no TV cable on the transmission, no HVAC, and rotten/mismatched tires. But I still drove it home. I have fixed most of it, and even had the AC working until it all leaked back out the compressor seal.
I have done some short oil change intervals with 1 qt of Marvel Mystery Magic Minty Oil and a bottle of AT-205 Reseal on the last one. It has stopped making giant clouds of oil smoke on start up, doesn't leave any drops on the ground, and has enough oil pressure with 20W-50 that I think I can go down to a 15W-40 (initially, it was barely making 10 PSI at any RPM on 10W-30). The check engine light even stays off now. It is still burning about 1-qt of oil per 1000 miles, but that is fine with me. So it is running and I drive it once a week or so. However, the engine still has some hiccups due to some kind of timing issue. I suspect either a loose timing chain or distributor shaft. If it is the chain, I will have to drop the oil pan in order to replace the timing chain. Then I can really do some cleaning.