MS04-011 caused major problems in my IPT cluster. I have uninstalled it...
I called MS product support and they told me that there are "known issues" and they are recommending uninstallation. There will be a new patch issued "soon."
I also informed Cisco PSIRT - perhaps an alert should be sent out? One of my CCMs blue-screened!!
The lesson is do not install OS patches on Call Managers that do not come from Cisco. Cisco has done something under the hood, so it is up to Cisco to modify the patches from Microsoft.
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