I have tinitus (tinitis)in both ears. Theringing is non stop in both ears. Got it from all the years of duck hunting. I can deal with it but it does affect where sounds come from, especially directly in front of or behind me. I have had it so long i have learned to live with it. I can still hear plenty well enough though to hear most sounds in the woods, but I wish I had my normal hearing back. Wear ear protection!