I have a few hopefully helpful suggestions. First, use SERRATED scissors. They grip the fabric and really take the strain off the wrist/hand. Olfa has two sizes. You won't believe the difference. Next, I would recommend the "Halo" marketed by Sharon Schambers (who wins repeatedly in quilt competitions despite hand tremors). It helps immensely to move the quilt while machine quilting. Thirdly, look into the Dazor magnifying lamp. It has a bright flourescent bulb behind a large (@8 inches) circular magnifying lens. You can position it right in front of the sewing machine and look through it to sew. Throws terrific light on your magnified field. In addition, use a "Bendable bright light". It's a small intense light that you affix to the machine and can bend to pinpoint the beam of light. Really great for illuminating the presser foot, especially on the "dark" right side. And of course, always play music while you sew. I'm into soundtracks - check out "Cider House Rules"