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Patek Philippe

I couldn't tell you specifically about the 5159 but

 

just pull the crown out and see which way the hands turn.


As for the pushers, the important thing you need to be aware of is that the watch must be set at 6:00 am before you make any changes. Crown position is not a factor, although when I use the pushers I do pull the crown out to the setting position.

Read the manual, it's all there.

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