Ear buds are placed into custom, made in-house, instant ear molds.  This significantly decreases the environmental noise thus, allowing you to enjoy your music at a safe listening level.  For example, this pair was made for a patient who wanted to ride his Harley while still enjoying his music but without either one damaging his hearing.  Bring in your favorite set of ear buds and I will custom build the molds to fit them.  I can usually have these done next day.