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.