Ron -
A mixing elbow is also called an exhaust riser. It is the inverted "U" shaped fitting on the end of the exhaust system. It has a passage where the raw cooling water is mixed with the exhaust gasses. That is for the purpose of cooling the exhaust before it is passed into the rubber exhaust hose. Mine has been a source of problems since I got this boat. It is poorly designed and therefore tends to plug up and cause problems which I have always thought were something else. Rough running engine, loss of power, stopping the engine from running altogether, smoking, corroding, leaking water and exhaust gas are all symptoms of this parts malfunctioning. If you haven't looked at yours, I suggest you do. When it fails, a new one is difficult to find, very difficult to replace and unnecessarily expensive. I have been quoted between $120 and $480 for the part depending on where you fall in the Yanmar marketing scheme and how much the seller thinks that he can stick you for.