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Acrobat X is not compatible with Windows 10, so problems are to be
expected, especially when it comes to integration with other software or
hardware, like a scanner.
And, apparently, the "solution" is to subscribe to Adobe's cloud service.
There are other products out there. I will probably start looking.
Not necessarily. You can still get a perpetual license, not a subscription. However, a subscription is better because it will make sure you're always up-to-date and compatible with your OS.
Acrobat X works fine with Windows 10. I use that combination.
I would suggest doing a clean install. First remove the product and then reinstall. After the clean install, run the Acrofix patch you mention. The way you describe it as running (in a blink) is normal and correct.
Remember that you may need to deactivate the product on your computer before you remove it (I have it as part of a creative suite so if I was doing this, I would deactivate the entire suite, remove then re-install the entire suite).
As I mentioned in my reply to try67, the product works fine on Windows 10 (I have been using it without issue for years).