If it's something that a good HJT scan could purge, that'll save him a lot of program reinstallations. It's not that hard to install the OS, it just takes time, the major annoyance is in having to reinstall everything else afterwards.
Mem: If you're not a supremo tech wiz, then just throw the HijackThis log on here and I'd be willing to go through it for anything obviously malignant.
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