Should have been a little more explicit on that one. Like Raff and Eric said, don't patch it. Use the dispatch fix coming with pywin32.
Also, make sure to use the Python installer (64bits), and reinstall pywin32 64 bit. You can use the 2.7 version I think without having trouble: http://python.org/download/ One you have both 64bit version installed if python 2.7 and pywin32, you should be ok.
