This new KB4056892 definitely includes MSFT's new Spectre and Meltdown fixes. These fixes are patches to the kernel itself, so yes, mayhem is indicated at least in the short term. Everyone (MSFT, Linux, Apple) will have to rewrite parts of their kernels. Slowdowns may be 5-30 % at first, but that and stability will probably improve with updates over maybe the next couple of months or so.
I updated my Win 7 Pro system, and it's fine. Windows 10 has not so far been quite so lucky. But I'm frankly surprised it hasn't been worse.
measuring space rock rotation rates, live from Albuquerque NM