Thanks for attempting to answer an incomprehensible post !  I had not
finished it and did not think it had made it to the group - so thanks
for even trying.

My problem that I was trying to solve was for a client who wants to
generate a medical letter such as the above and then create, simply, an
identical copy with the cc: doctor becoming the Adressee, i.e.:

Dr. B Jones
14 Medical Way,

Dear Dr. Smith,

Your patient will live.

The above occurs when a primary care physician refers a patient to a
specialist who orders a diagnostic test.  The company supplying the
test sends a result letter back to both the specalist and the primary
care physician.  That one letter is required to be addressed
individually to each of the doctors concerned.  I was wondering how
others had handled such situations in word.  We want to automate this
for the client with all corespondence based on a template that will
allow switching between the supplied doctors names.  All fields are
supplied in a "mail merge" at document creation time and the data is
sourced from a database.  

Thanks for your time,

Anthony.