Hi Magikrat,
I'm one of those that can jump between right and left hand drive cars, US and UK driving, manual or automatic in either the US or UK!
I've just returned from 2 weeks in the USA - fighting jetlag right now, and I was in Las Vegas again, also LA and then in NYC and I found the roads around NYC, mainly Manhattan area more confusing and 'quicker' - as in to get exits and be in the right lane etc etc - it didn't help my GPS was a bit slow in response times either!
I also have a 2003 F150 truck here as well, some streets are too small to drive down, but it's not really an issue to have a left hand drive vehicle here
Now to confuse you in your quest at manual gearboxes, I could just give you a car with a dogleg gearbox....
Cheers, DtM! West London & Slough UK!