After installing 204.05, I seem to be getting too many patients during a regular sync.
Fix: be sure and go thru the Ready to Sync (RTS) screen on the PDA before syncing.
Reasons: In past versions, RTS was required to allow the PDA to send its new data to the PC. With 204.05, skipping RTS either accidentally or because of an error message during RTS, will not prevent the upload of new data from the PDA. But, the price to pay is a longer sync due to the full size master tables syncing instead of the smaller changes only tables.