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Originally Posted by Fat Charlie
If driving it is painful, it reduces the quality of the drive.
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I didn't feel so much pain the last time I drove a manual, but whenever I was asked to drive when I had pain on my knees I managed to avoid it.
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None of my conditions are that far gone yet.
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I always had patellar displasia, as it's linked to genetics, but I didn't treat it until last year and used to push the limits. About a year ago a friend of mine got quite surprised to see me picking a table that would be supposed to be heavy to a point that he didn't feel comfortable to move it by himself.
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I just hope I can get a Model 3 before they are. 
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I'd much rather fit hand controls to an ICE-powered car with a manual transmission instead of switching to an EV.