Thanks for all the replies so far.

I just got back from listening to Kelly Galloup present his modern streamers concept at Mad River Outfitters here in Columbus and the owner said he had his best day ever on the Mad using those techniques so I'll definitely be picking up a full sinking line this weekend and tying up some more big streamers.

Of course thats a big fish strategy and goes against most traditional trout fishing docrtine, so I'll probably start with the small stuff and being as stealthy as possible until I get the river figured out.