I’ll chime in with a sidebar: Anyone got any experience using hearing aids for the "hearing in noise" issue (aka. King-Kopetzky syndrome or lack of cocktail party effect [0], part of a whole bunch of things also called adhd for ears). Essentially I have filtering issues, as soon as multiple people talk, I can’t really understand anyone anymore, unless they very directly speak into my ears so they are significantly louder than other noises.

It’s a brain thing, my hearing itself is above average for my age (40), so I’m not sure what exactly can be done, but there was an article many years ago about someone (Bose?) working on aids for that issue, no idea what came of it. I guess all modern hearing aids have some focus mode.

[0]: https://en.wikipedia.org/wiki/Auditory_processing_disorder

edit: In case there’s an airpod suggestion, I’ll also need to know if that feature works on Android, it’s not crippling enough to make me use an iPhone.

I posted this standalone, but replying to you since you specifically asked about HAs in noisy environments.

The newest HAs have AI that helps in noisy environments. The ones I have are the Phonak Audéo Sphere Infinio I90s. I've worn HAs for 40 years. It's truly unbelievable in noisy environments. I know it's easy to think it's all marketing garbage, but some great demos on YT of the technology. I keep them in AI mode all the time when I have them on, and charging them for an hour at lunch is enough to get me the necessary runtime.

Hearing in noise is both what most people want from hearing aids and what they are least equipped to provide.

The traditional solution is an FM system where you give the person speaking a microphone linked to your hearing aids. There are dedicated ones like Phonak Roger. You could probably also use your phone as a microphone if it's bluetooth connected to your headphones or hearing aids.

I'm completely lost in noise. The benefits for this kind of thing is part of why my audiologist pushed for hearing aids with directional microphones. And they do help. But it's not a fix. I'm still mostly lost in noise.

People rely on the (usually very large) dynamic range of hearing to be able to understand in those situations. In people with typical hearing the brain filters out the sounds too loud or too quiet to be what they are trying to listen to. But hearing aids act as compressors reducing the dynamic range.

Have a look at librepods [1], which was lately on HN.

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1. https://github.com/kavishdevar/librepods

Bose used to make these noise cancelling earphones called the Hearphones that could focus on the speech of person in front of you and they were amazing:

https://support.bose.com/s/product/hearphones-conversationen...

I absolute loved them, but unfortunately lost them, and they are irreplaceable.

Thanks for bringing this up, I'm often lost in a setting with competing voices. I don't strictly need hearing aids but the few times I've had my earbuds in with ambient voice enhancements it's really improved my QoL. Gonna have to look into this more!

Airpod Pros work well for me in adaptive mode for this, I've never compared to devices more dedicated for this thing, but it's enough for me. They seemingly reduce most of the surrounding noise while I can still hear the person talking closest to me.

I have the same problem (took 35 years to find out), and hearing aids with directional microphones might work. I don’t say they will, but it is worth to try it.