I got a Dr. Grip when I was having trouble with carpal tunnel and was writing a lot for 10+ hours a day. It was better than the $50 pen I tried that was supposed to be easy on the hands. I like a fine point pen for writing small when necessary, and I thought the fine point wouldn't be especially smooth, but it really is, in my opinion. One of my main pens. Great for taking notes, great for comfort even when writing quickly for long periods. I also like that this refill comes in blue, since I prefer blue for distinguishing original signatures from photocopies.