I finally bit the bullet and installed WSJT-X version 2.1.0-rc5 I figured why let everyone else have all the fun! (I can admit that debugging new software can be a huge time investment).
Anyway, installation went fine, but you must read the user’s manual in order to understand how to “Clone” your original settings into a new one that can be modified to add the frequencies required for FT4. Just Read The FT4 Protocol Manual and you will be golden!

Within less than 2 minutes of starting I had my first FT4 QSO with W5I. And the QSO, which included one retry on the “CQ”, took 42 seconds — 30 seconds if you take out that retry.
The waterfall does look different because the FT4 signals are significantly wider and the TX/RX cycle is MUCH shorter. The image below illustrates this well. The top 2/3 is FT4, while the lower 1/3 is FT8.

Since FT4 isn’t part of the official ADIF standard yet (a few more weeks to go), LotW isn’t accepting FT4 as a valid mode. You need to have it force “DATA” in tQSL. Also if you use HRD like I do you need to add the new mode into HRD.
In HRD:
In HRD Log, click on Tools/Configure/Modes then use the ADD button to add in FT4.
(Ed: Feb 4, 2020 — The comments below, concerning TQSL, were based on the ARRL recommendations prior to their adding support for FT4 in a version of TQSL that released a week after this post. Things have been fine since then, and assuming you have a current version of TQSL, you shouldn’t have to do anything (so no need to add a new ADIF Mode and change it to DATA))
In TQSL:
File>display or modify preferences>ADIF Modes. Then click on “Add” and enter FT4 in the “ADIF Mode” box. Then highlight “DATA” in the list of “Resulting TQSL mode” entries, then click “OK”. You are all set!