Assistive devices that work with hearing aids can make a big difference in noisy settings. Whether those devices are used with BlueTooth, or telecoils they basically do the same thing. A hand held personal microphone can work well. You can set it on the table if you're out. Reality: Anytime we are in a noisy setting like a restaurant with background music and crowd noise, we will be challenged. Good quality hearing aids have noise suppression, but none are able to completely eliminate that noise. I've found the assistive devices that go beyond hearing aids to be the best solution for me.