I had a hearing check the other day, prompted by tinnitus. My hearing is normal, some lose at 2KHz, possibly from diabetes, and chatting with the doctor I mentioned something about hearing loss and dementia, something I read 20 years ago, that older adults that had been diagnosed with psychoses had improvements and/or recovery when their ears were cleaned. He clarified what I my misremembered, but it was similar, that hearing loss in older people led them to be ing non-responsive and/or non-social, and in that case diagnosed with dementia.
You are certainly not doomed, but it is something to keep in mind.