I came here to the comments to mention the shape "Cresti di Gallo", which I had for the first time recently and really enjoyed. I suspect it might just be another name for the same shape you posted, so maybe you can find another brand you like
The AirPods Pro already have a bunch of features that overlap quite a bit with hearing aids (e.g., importing audiograms), but it'll be interesting to how it evolves: https://support.apple.com/en-us/HT211218
tldr; `ollama launch claude`
glm-4.7-flash is a nice local model for this sort of thing if you have a machine that can run it