Hi Neil,
I use the Dura Ace thumbshifter conversion on my bike and prefer them to Rapidfire shifters.
Find they work okay for me, though you can only index the rear shifter, I don't bother.
I also have an XT M770 rapid rise rear derailleur, which means both thumbies work in the same direction. For low gears pull the levers towards me, highs push away.
Hope this helps.
Mike