Thyroid also has something to do with it.
Because my thyroid keeled over, I chew snoose, drink coffee, and hoover aspirin. Ring a ding ding.
Always been deaf, scarlet fever did me a number, but my ears are physically sensitive to loud sounds too -- so have always worn hearing pro, even before it was cool.
I find that the "noise I could never hear otherwise" comes and goes. When I'm thinking hard about something else, or engaged in something complex, life is pretty quiet inside my head.
But then I'll be laying in the sack ready to keel over and think to myself, hey, my $(*%&#($^ ears aren't ringing. Five seconds later they are.
Hard not to obsess about it. Haven't really heard the silence since maybe 2000.


Up hills slow,
Down hills fast
Tonnage first and
Safety last.