I just do mine in Word - copy and paste the photos and crop / resize right on the page. If I want to email the file (to my surgeon or whomever) I usually convert to pdf so that it isn't so large.
Margo - Burnaby, British Columbia HW 283 / SW 269 / GW 160 (I'm 5'8")
Check out my blog at http://www.vsggoodlife.com/