I think it's the fan... it I get a loud grinding noise, often immediately on start-up. Oddly, I can usually silence it by tilting the thing back & forth. Assuming it is the fan, I need recommendation for a replacement & directions to a site that will show me the disassembly process.
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I would not recommend this. You could fry your cpu and then you would have no notebook. If you are going to open the notebook make sure there is nothing interfering with the fan. The fan can be replace. Take the fan out and try to replace it, if needed. Do not run the notebook without a fan.
IBM THINKPAD T40 T41 T42 CPU Short Cooling Fan
FRU 91P9759 91P8393
this is the fan you need. please remember to rate the solution. will send you a link to my site with the how to disassemble and reassemble