Mary,
No I don't understand. From what I can gather you are typing something that has been dictated. The doctor says "quote bold the patients knee bone is connected to the elbow bold unquote and then you type " ctrl b the patient's knee bone is connected to the elbow ctrl+b " How is any macro suppose to know what you are going to type after the first " ctrl + b?
Obviously I don't understand what your process is and until I do I won't be able to help.
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