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Yes, they do work in quiet situations and if you talk directly to them. In a crowded restaurant, they can have problems.
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Depends, I think. Mine have three settings, selectable by buttons on the aids or with a supplied remote. The first is for normal use. The second is for restaurant settings. The third is for music.
Selecting the restaurant setting changes which of the several mics on each aid is turned on - instead of the mics on the front and back, only the front mics are used. It works very well. The music setting changes the frequency response curves so that soprano instruments don't make them howl.