I use mine all the time.
Thumb buttons:
1. Slowing down on the highway.
2. Climbing up a hill.
3. Passing people in a controlled manner.
Sliding the shift lever over and shifting up and down:
1. Driving in snow. I've always had sticks, and it is what I am used to.
2. Driving like an idiot.
I had to get an automativ becasue I busted my back and couldn't always push in a clutch. This was a compromise, and I love having it!
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