I only patch my OS if something's broke. I've had more registry & application problems and, have had to reinstall Windows more times after installing some M$ 'patch' more than any other time.
primary MBP Core i5 2010 | HR | OCZ 120GB SSD
gaming Core i5-2500K @ 4.1GHz w/ CM Hyper212+ | MSI N560GTX-Ti TF II/OC | MSI P67A-GD55 | Silverstone FT02 | X360 250GB + Kinect
htpc IONITX-A-U | 2GB | M350 | XBMC Linux | SABnzbd, sickbeard, couchpotato | NAS Synology DS411J | 4TB
hometheater KURO PDP-5020 | Marantz SR6005 | Definitive BP7001s, CLR3000, BPVXPs