I still drive without hand controls as well - every day in fact to and from work. The biggest problem I have is stress and tension. After awhile I loose me patience with the other drivers especially in heavy traffic where there is constant braking and sudden stops. The constant stress makes me so stiff be the time I reach my destination that I'm not good for anything. I don't have any problems yet with the reflexes though, and like Charlie, I don't tailgate and keep my speed reasonable at 60-65 mph.

I think part of my uncomfortable ride might be the low seating in my car. I drive a 2001 Toyota Celica which is kind of difficult to get in an out of, but the gas mileage is good at 40mpg, and it's paid off. It was a great car when I didn't have the PD

John