Subtle google hijack - removed twaintec, but problem remains

I went through all steps on "Check here 1st", found twaintec, ran everything else, etc. Really cut down on everything with HijackThis, but search result hijack still remains. The hijack is nefarious, leaving the "news results" and "local results" (if there) at the top, and perhaps the sponsored links, but the main results are all replaced. If you highlight the URL in the address bar and hit <enter> to "refresh", you can get the original results page-by-page. For example, if you type in a professional sports team, all of the results will be for ticket selling options. Here is my hijackthis file.

There was an article in The Economist magazine this week, highlighting the danger of wasted productivity on this spyware / hijack stuff, which threatens to make the internet as useless as e-mail becomes when clogged with spam.

Logfile of HijackThis v1.97.7
Scan saved at 12:00:42 PM, on 6/11/2004
Platform: Windows XP SP1 (WinNT 5.01.2600)
MSIE: Internet Explorer v6.00 SP1 (6.00.2800.1106)

Running processes:
C:\WINDOWS\System32\smss.exe
C:\WINDOWS\system32\winlogon.exe
C:\WINDOWS\system32\services.exe
C:\WINDOWS\system32\lsass.exe
C:\WINDOWS\system32\svchost.exe
C:\WINDOWS\System32\svchost.exe
C:\WINDOWS\system32\spoolsv.exe
C:\Program Files\Common Files\Symantec Shared\ccEvtMgr.exe
C:\WINDOWS\Nhksrv.exe
C:\WINDOWS\System32\CTsvcCDA.EXE
C:\Program Files\Common Files\Microsoft Shared\VS7Debug\mdm.exe
C:\Program Files\Norton AntiVirus\navapsvc.exe
C:\Program Files\Norton AntiVirus\AdvTools\NPROTECT.EXE
C:\WINDOWS\System32\nvsvc32.exe
C:\WINDOWS\System32\svchost.exe
C:\WINDOWS\System32\MsPMSPSv.exe
C:\Program Files\Common Files\Symantec Shared\ccApp.exe
C:\Program Files\Common Files\Real\Update_OB\evntsvc.exe
C:\WINDOWS\System32\ctfmon.exe
C:\Program Files\Spybot - Search & Destroy\TeaTimer.exe
C:\Program Files\palm\HOTSYNC.EXE
C:\WINDOWS\system32\fxssvc.exe
C:\Program Files\Messenger\msmsgs.exe
C:\WINDOWS\System32\devldr32.exe
C:\WINDOWS\explorer.exe
C:\Program Files\Internet Explorer\iexplore.exe
C:\Program Files\Internet Explorer\iexplore.exe
C:\Documents and Settings\Scott\My Documents\download\HijackThis.exe

R0 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page = http://www.excite.com/
R1 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page_bak = http://www.excite.com/
O2 - BHO: (no name) - {29A61D5F-88C5-8735-FB85-A54CD92A0E65} - C:\WINDOWS\System32\ipicmvdk.dll
O2 - BHO: (no name) - {53707962-6F74-2D53-2644-206D7942484F} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O2 - BHO: (no name) - {85F3D74C-CE30-7E75-EDA3-CA409A280496} - C:\WINDOWS\System32\qcbtemqd.dll
O2 - BHO: (no name) - {AA58ED58-01DD-4d91-8333-CF10577473F7} - c:\program files\google\googletoolbar1.dll
O2 - BHO: (no name) - {EB12022F-6F5E-2BCD-8F35-89E315368B17} - C:\WINDOWS\System32\lvuenzjh.dll
O3 - Toolbar: Norton AntiVirus - {42CDD1BF-3FFB-4238-8AD1-7859DF00B1D6} - C:\Program Files\Norton AntiVirus\NavShExt.dll
O3 - Toolbar: &Radio - {8E718888-423F-11D2-876E-00A0C9082467} - C:\WINDOWS\System32\msdxm.ocx
O3 - Toolbar: &Google - {2318C2B1-4965-11d4-9B18-009027A5CD4F} - c:\program files\google\googletoolbar1.dll
O4 - HKLM\..\Run: [ccApp] "C:\Program Files\Common Files\Symantec Shared\ccApp.exe"
O4 - HKLM\..\Run: [ccRegVfy] "C:\Program Files\Common Files\Symantec Shared\ccRegVfy.exe"
O4 - HKLM\..\Run: [Advanced Tools Check] C:\PROGRA~1\NORTON~1\AdvTools\ADVCHK.EXE
O4 - HKLM\..\Run: [QuickTime Task] "C:\Program Files\QuickTime\qttask.exe" -atboottime
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\System32\NvCpl.dll,NvStartup
O4 - HKCU\..\Run: [ctfmon.exe] C:\WINDOWS\System32\ctfmon.exe
O4 - HKCU\..\Run: [SpybotSD TeaTimer] C:\Program Files\Spybot - Search & Destroy\TeaTimer.exe
O4 - Startup: HotSync Manager.lnk = C:\Program Files\palm\HOTSYNC.EXE
O8 - Extra context menu item: Translate into English - res://C:\Program Files\Google\GoogleToolbar1.dll/cmtrans.html
O9 - Extra button: AIM (HKLM)
O9 - Extra button: Messenger (HKLM)
O9 - Extra 'Tools' menuitem: Messenger (HKLM)
O16 - DPF: symsupportutil - https://www-secure.symantec.com/techsupp/activedata/symsupportutil.CAB
O16 - DPF: {01A88BB1-1174-41EC-ACCB-963509EAE56B} (SysProWmi Class) - http://support.dell.com/systemprofiler/SysPro.CAB
O16 - DPF: {0D6451B3-FDDA-11D3-BFEC-00D0B725EB0B} (Yahoo! Vision) - http://download.yahoo.com/dl/fv/yv.cab
O16 - DPF: {11260943-421B-11D0-8EAC-0000C07D88CF} (iPIX ActiveX Control) - http://www.ipix.com/viewers/ipixx.cab
O16 - DPF: {166B1BCA-3F9C-11CF-8075-444553540000} (Shockwave ActiveX Control) - http://download.macromedia.com/pub/shockwave/cabs/director/sw.cab
O16 - DPF: {555500CD-CB54-11D6-8DB9-0000864598B3} (Diagmgr Class) - http://isupport4.hp.com/awebui/jsp/answerweb/applets/HPISDiagManager.CAB
O16 - DPF: {597C45C2-2D39-11D5-8D53-0050048383FE} (OPUCatalog Class) - http://office.microsoft.com/productupdates/content/opuc.cab
O16 - DPF: {8E0D4DE5-3180-4024-A327-4DFAD1796A8D} (MessengerStatsClient Class) - http://messenger.zone.msn.com/binary/MessengerStatsClient.cab
O16 - DPF: {90A29DA5-D020-4B18-8660-6689520C7CD7} (DmiReader Class) - http://support.dell.com/us/en/systemprofiler/SysProfLcd.CAB
O16 - DPF: {9F1C11AA-197B-4942-BA54-47A8489BB47F} (Update Class) - http://v4.windowsupdate.microsoft.com/CAB/x86/unicode/iuctl.CAB?37619.3396875
O16 - DPF: {AE1C01E3-0283-11D3-9B3F-00C04F8EF466} (HeartbeatCtl Class) - http://fdl.msn.com/zone/datafiles/heartbeat.cab
O16 - DPF: {C3DFA998-A486-11D4-AA25-00C04F72DAEB} (MSN Photo Upload Tool) - http://sc.groups.msn.com/controls/PhotoUC/MsnPUpld.cab
O16 - DPF: {D27CDB6E-AE6D-11CF-96B8-444553540000} (Shockwave Flash Object) - http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab
O16 - DPF: {DF6A0F17-0B1E-11D4-829D-00C04F6843FE} (Microsoft Office Tools on the Web Control) - http://officeupdate.microsoft.com/TemplateGallery/downloads/outc.cab
O16 - DPF: {E77C0D62-882A-456F-AD8F-7C6C9569B8C7} (ActiveDataObj Class) - https://www-secure.symantec.com/techsupp/activedata/ActiveData.cab
O16 - DPF: {F58E1CEF-A068-4C15-BA5E-587CAF3EE8C6} (MSN Chat Control 4.5) - http://fdl.msn.com/public/chat/msnchat45.cab
O17 - HKLM\System\CS2\Services\Tcpip\Parameters: SearchList = patmedia.net
O17 - HKLM\System\CS3\Services\Tcpip\Parameters: SearchList = patmedia.net
O17 - HKLM\System\CCS\Services\Tcpip\Parameters: SearchList = patmedia.net