I Almost Died. This Is What I Learned

Duncan Riach
26 min readJan 3, 2018

It was Thanksgiving day. Cindy and I were preparing to have friends over for dinner. My right arm had been swollen since the previous evening. It looked slightly purple when compared with my left arm, and it reminded Cindy of Popeye’s arms. It was inflated and taut like a balloon, and unexplainably ripped.

This was what I thought a deep vein thrombosis (DVT) might look like. A DVT is a clot in a deep and major vein of a limb. I remembered hearing stories of people getting DVTs from long-haul flights, and then later dying when the clot migrated to the heart, lungs, or brain during exercise.

We went to a local emergency room (ER). They prioritized my case and I was seen by a doctor very quickly. It turned out that I did have a DVT. I had a massive blood clot in the main vein of my arm, starting in my chest, under my collar bone, and extending all the way down my arm to my wrist. The doctor told me that it was an unusually large clot. We cancelled Thanksgiving dinner.

I was diagnosed with veinous thoracic outlet syndrome (VTOS). Only about 1% of the population ever develops thoracic outlet syndrome, and of those, only about 3% suffer from the veinous type. That means that only about 3 in 10,000 people ever get this. That’s about 0.03% of the population!

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Duncan Riach

Top Writer. Self-Revealing. Mental Health. Success. Fulfillment. Flow. MS Engineering/Technology. PhD Psychology. duncanriach.com