Being hearing impaired can be a real challenge in the workplace. The biggest problem is that few understand the problem, and usually the person with the hearing impairment is hesitative to admit the fact.
When in one on one situation things may be just fine, especially there is little background noise. In a crowd situation the hearing impaired person may hear, but not understand, 50% or more of what is said. It can be very frustrating in meetings etc.
Sound is made up of Frequency and Volume measured in decibels. In the ear that sound is converted to electrical impulses to the brain. Many things can happen to keep the sound from reaching the brain.
Say some one says the letter