I'm bilingual. In fact I'm quadralingual, because I can type in English and Russian, both in qwerty and dvorak. In any case I type at productive speed.
I never had a problem with hands pain while using qwerty, but I still prefer DVORAK, it has a better rhythm and my top speed is higher. But I have to work on many computers so not forgetting qwerty helps when I can't change the layout.
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