Mr. Santos, a 65-year-old Male, Presents to the Clinic Complaining of Difficulty Hearing Conversations and Experiencing Ringing in His Ears. He Reports a Gradual Onset of These Symptoms over the Past Few Years. He Denies Any Recent Ear Infections or Trauma. Upon Further Assessment, the Nurse Notes That Mr. Santos Has Difficulty Understanding High-pitched Sounds and Struggles to Follow Conversations in Noisy Environments