I recall having a problem with a work PC.
Apparently (check MS Technet, I don't recall the bug ID) there is a flaw where AVI files in the open directory can cause Explorer to crash - and I had some AVIs from a colleague in "My Documents", a directory I frequently have open.
I created a special subdirectory for them and the problem disappeared. Try putting all your media and photos into a seperate location (or locations) - places which you don't browse often. This may help.
[On reinstalls - I don't do these. This is something that first level support do when they don't understand the problem or cannot be bothered trying to tackle it. Nobody ever learnt anything new from a reinstall, and we cannot do that on critical servers. Ditto with reboots]
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