If you get wax in your ears from the earbuds, you should check into bone conduction headphones. The major brand is Aftershokz, but I believe there are a few others now. Rather than a tiny speaker sitting in your ear, it sits just in front of your ear, and vibrates the bones directly.

A lot of clients I know use it because it leaves their ears open so they can listen to their surrounding environment when they are traveling around. However, because they don't cover your ears, it means ambient noise will be a factor, so it doesn't work so well in a noisy environment (such as an office). But for a home office, it's pretty good.

That's how my friend loss a good amount of his hearing he was using his headphones to listen to his screen reader at work and needed to turn up the volume higher and higher because of the background noise at work to get anything done.People should try to use refreshable Braille displays if they can ward one. The only problem with this is most people can't read 400 words per minute.