I am new to this site and not sure how to post yet, so I created a new topic. That is probably wrong. Yikes. My problem is that I had a THR done in 2006 on right hip, then had left hip done 2007 11 months later. Now I have cobalt serum level of 7.0, cobalt random urine level of 64.3, chromium plasma level of 5.6 and chromium random urine of 24.2. Also, my chromium/creatinine ratio is 13.8 done with random urine test. My cobalt cpt was 80084. Was that the correct test to run? What other testing should I have at this point. I have pain, disfiguring painful lumps at incision site, scar tissue buildups or lipomas I have no idea, but soft lumps and hard lumps from incision down to thigh area running along the stem I assume. So far, I have had an echo of abdomen, which showed fatty infiltration and mildly enlarged liver. My AST which was 16 in 2010 is now 136, my ALT which was 22 in 2010 is now 141. I have so many symptoms, I now see a cardiologist for diastolic dysfunction and hypertension, I am now a diabetic, I have rapidly gained about 30-35 lbs, I am severly short of breath, as even dressing makes me winded. I have seen a pulmonoligist who ran a breath test and said a mild restriction is all he saw at that time. I am sorely fatigued, my bones are "tired" all the time. My cognitive ability is off. I can't speak a whole sentence without pause, or without searching for a word and then getting it out. My short term memory is terrible. I don't read anymore because I can't retain it. I have such weakness in legs still, fluid retention, rash occasionally on abdomen, I hate to keep listing my problems. My question is this. At which point do I seek a revision, and which tests should I be undergoing now? I feel like at least an aspiration of my deformed area should be done to see what lies in the fluid, but I am feeling like the physicians I have are not pro-active, they are scared to touch this subject and I am left asking for my own tests to be run even coming in with the cpt codes to help them. I could use advice from those who have knowledge, have been there and have time to answer. I am 51 years old now, so I was 45/46 respectively at time of THR.