My hearing deficits are becoming clear...

I am a life-long audiophile with a nice system which I enjoy immensely.  For years I have had problems comprehending conversations in lively rooms with lots of folks speaking at once, but it has not diminished one iota my enjoyment of my audio system.  However, today, in a room with 5 guys talking over a football game on the TV, I was just flummoxed trying to understand what the heck anyone was saying.  The aural dissonance just drove me nuts so I departed, realizing that I need to address his deficit.

I reach out to my friends on this forum for recommendations for hearing aids for an audiophile like myself.  I prefer tube amplification in my system, but I don't suppose that is possible with hearing aids.  I'd look silly walking down the street with a 12AX7 tube sticking out of each ear, right?  Any input would be much appreciated.   Mark in Sacramento
To drop a mfr. name, I'm really happy with my Phonak  Audéo  M-RT pair.

The Bluetooth works well with my Samsung droid cell as long as I keep it on me and don't stray too far from it.  That's the biggest complaint users lodge against them, but for all the versatility they have I can't bitch too much.

My tinnitus has largely been overcome (a mild hiss, somewhat like tape hiss), back only when out of my ears.  My mid-range loss is nicely compensated for, and my insurance knocked roughly a third off the price.

Molded ear pieces are nicely comfy, they charge quickly, and one learns to remove a N95 mask off towards the back of one's head rather than just pulling it off (since I wear glasses as well)...

Had the same issues with speech recognition, but have learned how to excuse not paying attention to spouse....

"Pardon, listening to Spotify....Say what?" ;)  It almost works...*G*
Like many, when I was a teen I went to concerts and liked my music LOUD.  But over the years I found that I enjoyed the music much more when it was at a low-to-medium sound level.  I can listen much better for each instrument and find that relaxing.  When I got my current hifi set-up last year, everyone assumed I would be blasting the volume, which was not the case.  I have the power I do for clarity of the music and not for blasting sound pressure levels.  Sorry, but I have no recommendations for OP’s question.
Thanks to all for your helpful suggestion.  I will see my ENT and his audiologist for the next steps.  Whitestix
Don't smoke cheap tobacco or weed. No smoking at all is best, BUT if you must... Cheap is NO GOOD. Booze, what can I say. I don't drink BUT if I did, no cheap stuff.. A "single" Single malt maybe once every couple of years..

You're no dam fun!
I've been through this.  Time to find a hearing aid specialist and get a good set of hearing aids.  Don't go cheap.  Mine are by Beltone and you can control the settings from an app on your phone.  And if you have an iPhone, you can stream phone calls and other sounds direct to the hearing aids.  Its great.  Its not a perfect solution but nothing is.