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Goulet Pens were fantastic for my fiancee.

She has lupus, so holding and writing with a ballpoint pen is agony for her and her hands on bad joint days. She can usually do okay with a gel ball roller, but one day I let her try my fountain pen and it was the least painful writing experience in her life.

She emailed the Goulet Pen company for suggestions on good pens for lupus/arthritis and got a detailed response with suggestions. They were fantastic and helped her place an order for a less expensive pen that fit her hand better to test the waters for future orders.

Their YouTube pen videos are good too.