My sister and I both sewed clothing when we were teenagers. We'd send our scraps to our grandmother who lived 800 miles away and we'd see only once a year. Grandma would hand piece quilts using the scraps and pieces cut from old clothing. She's send us the finished quilt . My sister and I would spread the quilt out and reminisce about the various patches... "Remember when I wore this dress to the school dance and such and such happened?" etc. I still have one of the quilts and my sister has another. I can't imagine piecing and quilting a quilt by hand! No sewing machine, rotary cutter, or ruler. I can barely get a top done using a machine and modern tools, and I've never done any quilting other than SITD! I do remember that my grandma never sat down without having something in her hands to work on!