Hi:
I would say you need to remove the motor to clean out what is in there. As far as it running on hi only, most likely the blower motor resister has gone bad due to too much amperage being drawn from the motor.
As far as doing it yourself, it is an involved job. The motor is under the dash on the passanger side and will require some components to be removed. Plus, you have an air bag that you will be working near. If you decide to do it, (and I think you could) purchase a good repair manual designed for your truck. It will provide step by step instructions and pictures to help identify parts. Also, replace the blower motor resister.
Let me know if you have questions.
Joe
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Tuesday, February 10th, 2009 AT 5:20 PM