Hi I’m new to MayoConnect and although I’ve worn hearing aids for 20 years I’ve found useful information from the posts. I have profound loss in my left ear and have moderate loss in my right ear. I’m struggling with clarity also and although my word recognition has just recently dropped I am not eligible for a CI under Medicare guidelines. I have a first generation Phonak BiCros which means they are not standalone Bluetooth capable and I need a ComPilot neck loop to connect with my ALDs. Also the BiCros doesn’t have directional mics. I use a Roger Pen or RemoteMic in meetings so I can hear everyone. I link up to my iPhone Bluetooth w my neck loop. I also have TVLink which Is an absolute necessity because with my loss of clarity I struggle to understand what is being said on the TV. Like every other person I’ve spoken to with hearing loss hearing in venues with background noise is impossible. The ALD’s are not Helpful in those situations because they make all the sound louder. I have trouble if even two people are talking at once. Right now I recommend InnoCaption for captions on the cell phone and the app AVA for voice to text that you can use to read what’s being said in real time. I have my T-Coil turned on but not many places in our area are looped. To find venues in your area that are looped type your zip code into http://www.aldlocator.com/#/home.