After taking the time to compare screenshots and try out some different areas of the game. The graphical fixes from htis patch have fixed a lot of my gripes. There is still an issue when in the Briar Patch causing major slowing on my AMD 7950 3GB. Other than that, it's nice to be able to run the game at full settings once again without major texture degradation and game crashing. I have yet to try out New Romulus to see if I still have the random crashing there in spots but I will try to force myself to go visit this boring aspect of the game.
My thanks to whoever finally got around to addressing these issues!