His 'headphones' are actually a medical device similar to a VNS. It delivers minor electronic shocks to major nerves and prevents him from having seizures and debilitating headaches. They are attached behind his ears with his hearing aids and NOT optional.
He was hearing before his accident, but learned sign language to be able to communicate with his childhood best friend (and later his boyfriend)'s parents.
He will turn off his hearing aides at any given time if he wants to ignore you. If you know sign language, he will refuse to look at you as well.
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Design Notes
The wired headset is a medical device and not optional
