I was driving about 70mph down I-64 in Newport News, VA on Sunday heading to Williamsburg and was on the phone. I heard a weird noise coming from the bed of the truck on the driver's side, but didn't feel or notice anything different about the truck (handled fine and kept driving straight).
About 30 seconds later a couple in a Suburban comes alongside and starts honking and waving toward my left rear tire. I pulled off the interstate and hopped out of the truck and low and behold the tire was flat. I was amazed that I didn't feel any difference in how the truck drove or felt. I honestly didn't notice the attitude with the left rear lower than the rest of the truck. I always thought if I ever got a flat in my truck it would be very pronounced...not so!
Though not my first time changing a flat, it was the first on a Super Duty and first on a big jacked up truck. I'm lucky that just three days ago I had the common sense to throw the lug nut key in the center console (dealership reminded me when they couldn't rotate the tires or check the brakes during the 75,000 mile service). Found the jack and tools behind the seat, but didn't realize the spare has a special key! Found that in the glove box and wrestled with the rod to lower the spare.
FOR THOSE WITH LIFTED TRUCKS...I highly suggest throwing a block of wood or something behind the seat with the jack and tools!!! I had to lift from the bottom of the differential just to get the jack to reach (my Hi Lift is now permanently in the bed). While you're at it, throw a set of gloves in there too!!! I was in shorts, a polo shirt, and flip flops and I left my gloves in the garage the last time I helped a buddy move. Also, for those with aftermarket wheels and different than stock lug nuts, keep 8 stock lug nuts in the truck with that block of wood and gloves. You'll need them to run the spare wheel!
The emergency jack worked surprisingly well. I need a better tire iron, though. I usually keep a Gorilla wrench in my vehicles, but haven't gotten around to it with this truck. I was luck when putting on the new wheel. Just as I got the spare on the truck, I gave it a nudge with my knee to seat it against the hub and the truck fell off the jack! Had to jack the truck back up and get the spare reset on the hub. That was a little scary.
Just a personal experience and some lessons learned while changing a tire with a lifted truck.
Oh yeah, the fix was quick and inexpensive from the local tire shop I bought the wheels and tires. I was in and out in about 30 minutes after they threw a patch on the inside. The salesman said the patch was free, but I gave the guy who did the work a $20 for the quick job and putting the tire back on the truck and putting my spare back underneath. They have a repeat customer! If the patch didn't work I was looking at about $550 for a new tire.