I ave a friend who quilts as you mentionrd only she quilts one stitc at a time and draws her needle taut after each stitch she achieves beautiful even stitches that is to envy and she uses regular needle. I can do that but it is tedious for me. I prefer the rocking stitch and stab where I load my needle and work horizontally with the quilt depending on the situation. Does that make sense? I tried the Aunt Beckys device and could learn to become efficient with it but I am old and don't waant to learn it, it is necessary to use a rocking stitch with it, I believe. It's been a while ago. Sorry to hear you have lost some usage in your hands.. I have developed some arthritis in my left hand so am fortunate it is not my preferred right hand.