This is not an overly helpful reply but I have the exacts same problem, a bit of background noise and I can't make out someone talking to me. When I was at the Ataxia clinic last year I was meant to be refered to a hearing specialist but they are having problems sending me letters and I have yet to be seen but there is something that you put in the middle of the table with a piece in your ear and it distills the sound somehow and it transmits it to you. Ill follow this in case someone knows more!
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