Hey
@Stacken77,
I am very well at the moment, than you for asking.
So, regarding transport: living in London, I have no use for a car, thus I'm unable to comment on spikes after
driving.
I have however been using buses and taxis/cabs for the last 13 years, with my tinnitus, so
I can give an opinion on these.
During the first... 2... maybe 3 years of my tinnitus, I tried to live as normal; meaning I refused to employ hearing protection. This was off the back of the dumb advice we sometimes see given on here about
"don't use protection, it'll make things worse!!". If I hadn't listened to that kind of idiocy, I'd probably have much milder tinnitus now... It is as we both know the case that: absolutely you shouldn't use protection
everywhere, but you sure as f*ck need it when you're outside where people have the ability to sound: car horns, alarms and sirens.
Anyway, digressing...
So in those first 3 years (without use of protection) I would regularly travel to the closest book store to me, each day, (via Bus) and "steal" (/read without paying for) lots of comic books and horror/science-fiction novels to take my mind off... "my new life".
I don't know what buses are like in Sweden, but over here they are noisy things. The double-deckers tend to be a little less noisy (because they're bigger) than the single-deck buses, but in both cases, they sound like they're going to explode. They rumble and vibrate so much you can feel the vibrations in your skull. Plus they tend to have air-conditioning on them which makes a lot of noise (because the average Brit is stupid and fat, and would prefer a noisy machine to cool them down, than to have to lose weight). And then there are some other noises they make which I can't even begin to explain, kind of like electronic coil whines etc. but heavily amplified.
Every time you get on a bus in London it's like rolling a dice as to what you're going to get as far as noise is concerned. Some are fine, and then some are unbearable; it's completely random.
So some of the buses I could travel on without issue, others I would have to get off after 1 stop, because I just couldn't handle the noise on it.
When I started using hearing protection outside, that problem was completely eliminated and I could travel without problem on
almost any bus. I say almost, because 2 months ago I got on a bus that even with my ear defenders on, was uncomfortable to sit on for the 40 minute journey (but that's very rare).
The things is, even though I was able to travel on some buses without protection for a couple of years, I'm glad I stopped, because
I truly believe in cumulative noise damage; that is to say, just because you don't
"feel" the damage being done, or suffer a spike, that doesn't mean you won't be exacerbating this condition long term.
Regarding taxis and mini-cabs: Most cab drivers here drive Toyota Priuses, and I've been able to travel as a passenger in these, both with and without protection no problem.
The London Taxis tend to be quite noisy, with bad engine noise and internal vibration, and so I view them similarly to the buses; that they caused me no problems without protection in the short term, but from a long term perspective of living with this disease, I think it's good only to use them with protection in/on.
We have got Electric Taxis available now, but I haven't been lucky enough to ride in one yet.
TL;DR: Buses and Taxis albeit noisy, have never caused me spikes without protection, but long-term I believe they would cause damage without it.
Most Uber drivers in London use quiet hybrid cars, so I can travel in those without protection quite comfortably.