I also had the Birmingham Hip Resurfacing done in 2007 and did great with it, continuing my normal active lifestyle until 2022. I never had my metal levels checked through blood work, but while wintering in Florida, developed sepsis and ended up with emergency surgery. Surgeons had to remove my hip joint (Girdlestone) and a lot of muscle due to infection and I am now on lifetime antibiotics for Chronic Osteomyelitis of my femur and pelvis. I have no hip implant now and will never have one. I would recommend you get several opinions as to what's going on, especially if you are having pain too. I really didn't have severe pain until 5 days prior to my surgery. It took 3 different ER visits to 3 different hospitals before they realized what was going on. Wishing you all the best.