i am about 95% certain i am correct on that. even in paper form, it tends to be hard to find the right volume! we are a training practice, and a new doctor joins us in august each year. it's the queen's favorite event of the year! and, actually most of the frail older adults living in this country today are, in fact, living in a home setting. make sure you leave a gap at the bottom of the ear so you can turn it right side out. we tend to present a most recent picture to suit your needs. 