I upgraded to MAX 6 with Gen. Still having problems, but now the problems seem to be all audio with this patch. It won't seem to recognize my fw interface, even though Ableton Live does. Does not matter if Live is launched or not.
OK - I think I finally sorted the sound in issues. Using the metering patch I noticed my inputs were on 3 and 4, not 1 and 2.
I changed the DSP audio settings and now everything seems to be working! I can send the midi output to IAC bus now so Live can pick it up. The noteout object in MAX4Live does not have this extended feature.