I've had it since a Led Zeppelin concert in 1975...
I wear ear protection to all concerts (just cuts the dB, not the highs or lows) or when jamming with friends. High pitched squeals cause me pain (think 13 yo girls at an N'Sync concert... NEVER AGAIN!, or New Year's noise makers)...
Plugs and cans when shooting...
I really only notice it at night. We use a "white noise" machine which helps me with the tinnitus and helps my wife with my "supposed" snoring... (I've never heard it, so I think she's making it up!