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Wearing hearing aids outside is not a good idea. And if your ears are already damaged, even a second of exposure to a loud noise can spike your tinnitus. Wear earplugs. I have been ambushed by loud sounds many times, leading to permanent worsening. I wish I had known to use earplugs.

We live in too noisy a world. Suddenly a fire engine siren, construction noise, etc. every time I go out I am assaulted by noises even earplugs can’t reduce to a safe level. A visiting friend played loud music on her phone stupidly. For years I was ignorant and my tinnitus got worse and worse...