For me the game has become pretty much unplayable so I've decided to put it aside for now until it's patched in a way that fixes the bugs causing the problems, mostly CTDs. I won't be recommending it to anyone until it's playable.
Being in the software industry myself I know how complex it is to fix bugs in applications, is it the application? The video driver? Audio driver? Things that seem very simple always wind up being complex. I 'fix' one thing one place, next thing I've broken something else somewhere else. Unfortunately doing QA across all configurations of systems in nearly impossible, things like regression testing.. ugh. No matter what the application is there are always a few bugs, I accept that. I feel though that Bethesda was so fixated on 11/11/11 that they cut corners, froze the bug list prematurely (Every company has a long list of bugs; P1/P2/P3 prioritized - in a rush you clear the P1s and hope the P2/P3s don't turn into show stoppers). Now, they are probably scrambling to understand the new P1s ( a long list now ) and figuring out how to fix them.
Someone mentioned earlier that the LAA patch is a fix, it's not. The LAA patch is a temporary work-around that allows game threads to utilize more system memory. The problem is that somewhere in there is a real troublesome memory bug that points to most likely a very large memory leak. If I was Bethesda I wouldn't be just flipping LAA switch on as that might introduce other unknown issues requiring big testing, but it also doesn't address the underlying issue which might by a culprit in more systemic issues in the game.
Anyway, it would be great to hear from Bethesda, just even acknowledgement of the P1s they are tirelessly working on as the experience I've had so far is pretty mixed.