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Honestly? You have nothing but my sympathy. If I were forced into a workflow where I had to take words and run them through a four-step workflow that involved hand-typing shit into Preview after getting Word to play nicey-nicey with my images, I'd have a heart-to-heart with my employer about the amount of effort being wasted on layout and how they could probably hire a community college intern just to prettify the writing and still come out ahead. I have never been forced into a corner where people who need InDesign-level tweakatude don't have a couple InDesign galley slaves for that specific purpose.