Well, looks like we have exhausted every option to get Updates running. After four days and six different support techs, all recommended attempts have failed. Some of the options included: DISM, SFC scannow, chkdsk... etc. Even a Win Reset failed!
Looks like the only remaining option is to backup all files and completely reinstall Win 10.
This whole lack-of-interest on Microsoft's part is pathetic. Either something is wrong with the KB4592438 update or a previous update compromised the PC. The number of replies on this issue speaks for itself. Gosh, I miss Win 7 :-(