Over the course of the past 2 or 3 days I have been noticing that my right hand, wrist, and forearm were becoming slightly bigger than their lefty counterparts. In addition, yeserday my right shoulder started to ache, similar to some of the feeling when I had my first blood clot after my PICC line insertion. I had stopped taking my warfarin a week ago Monday after I had the PICC line out for close to a month. This evening I get to once again start twice-a-day heparin injections and warfarin, which I will likely continue for four to six months. If the arm improves it was likely a new blood clot, which isn’t uncommon after having had one. If it does not improve then I will likely have to have an MR Venogram to take a look at the vessels and determine whether I possibly have post-thrombotic (postphlebitic) syndrome, which is another complication that can arise from blood clots. So, there you have it. I will let you know how things go. Have a great day!