That makes sense, Ross.
OK - here's the skinny on what we did:
I'd installed new front brake shoes last year, and barely drove it afterwards. This summer, we took her out and got stuck in a 25 mile long conga line of traffic - the kind where you can see the light turn green 4 times before you get to the intersection, and your speed fluctuates from about -0- to maybe 10 mph, and your foot gets tired of pressing on the brake.
When we got back, the brakes were definitely hot. I mentioned it to MNtal, and he volunteered to take a look at them. He's built a lot of off-road rock crawler equipment, and has run into large discs a lot more than I have.
The new torque multiplier popped the lugs off in a jiffy, and he showed me how to remove the brake shoes (an Allen wrench to remove the lock-screw, and a punch to drive out a lock bar and spring). The shoes were definitely new, but he showed me how to use an angle grinder with a flap disc to lightly scuff them to remove any glazing (about a 10 second project). A Scotchbrite disc and an air angle grinder was then used to clean up anything that was on the rotors, followed by a squirt of spray brake cleaner.
Then, a wood stop block was set in front of the pistons. It was selected to allow them to travel farther than they needed to be based on the pad thickness, but not so far as to allow the pistons to travel too far. A press on the brake pedal caused the booster electric pump to engage and extend the pistons. Then, a piece of bar stock and a large C clamp were used to push the pistons back into the caliper. The pedal was pressed again so the pistons would again come out to the wood block. After 2-3 cycles of this, the C clamp effort dropped off, and we decided that the pistons were freed up.
The two pads were re-installed, the lock bar/spring and the lock screw went back in, and the tire was reinstalled. We used a normal 1/2" impact to tighten them - we've found that if they are installed with a 1/2 impact, the final torque is very close to the recommended 450-500 Ft Lbs for a 22mm stud.
We then sorted out lug nuts to match up the correct nuts to the stainless wheel simulators that were on the ambulance - two of the nuts are a little shorter so the studs stick through far enough for the simulator nuts to grab on, so these have to be positioned 180 degrees apart. After a few tries, we even got the valve stem to line up as well.
A test drive showed that the end result was perfect.