You get used to it and only really get reminded of it when it's brought up. Granted I'm sure for some people it's bad enough to always be at the forefront.
Yeah, I’m one of those latter people. When the tinnitus is so bad that it induces vertigo and nausea on a regular basis, among other things, it’s difficult to ignore.
edit: Once I went to get an MRI for it and they were really apologetic about how loud the banging in the machine was going to be, and I fell asleep twice because it was the first time something had covered up the ringing in a while.
There was a 16 or 17 year old guy on Reddit (at least I think it was Reddit) years ago--7 or 8 years ago--whose tinnitus was so loud and screechy that he could not sleep, could barely make out what people were saying when they talked to him, couldn't even enjoy music anymore.
He made a post about how he was seriously considering ending his life. I think about that kid all the time.
I have tinnitus, but it's quite mild and really hasn't had any effect on my life. But people like that young man, it steals their ability to interact with the world and they get more and more isolated.