Thanks for the information. That will help when I have my next appointment. I was wearing Siemens Centra Life before, and the Pure 7bx are a huge improvement over them. My speech understanding is greatly improved, able to hear soft spoken people with no problem. In large groups there is a vast improvement in understanding close conversations, although background noise could be better. I am hearing much better in the car but would like less road noise. Having an problem during meal preparation and clean up time. The sound of pots, dishes, utensils hitting each other is almost painful as is paper and cellophane packaging being crushed and the sound foil and waxed paper being torn from the roll. Other sounds like door latches, switches, car doors, things falling on the floor etc. are very loud. Have often taken my hearing aids out during meal prep because of these high pitched sounds. Think hearing aids may be set too loud and should have lowered but don’t want to loose speech. I have the phone app and have turned it to lowest setting and have lowered treble as far as I can. Phone conversations don’t seem a whole lot better, maybe the phone program will help with that. TV hearing is a lot better and volume is much lower than before, but still don’t get everything. When watching British drama on PBS still have to use closed captions. Will let you know how I make out after my next appointment. Thanks again