Been back in the driving seat for the last month now. Besides being generally more able than I was early last year, a gentleman who works in the supported living scheme where I live, has a very tech enabled son (bit of a kid really) who has made me USB peddles for under the desk. They are long things kind of like church organ foot pedals. I have two for my right foot and three for my left foot. I have the right ones for fire and target and the left ones for my pips. Its working out fairly well to be honest and while it seemed awkward to start, they are starting to feel like second nature now. I am sure I am still capable of the friendly fire that JohnLuke had to suffer from me. I still have to have all my eggs in one basket, as in I can't have separate fire zone, I have to fire everything or nothing so I am sure it makes me slightly less effective.
The important thing is am I enjoying it again? The short answer is Yes!