Oh, my! This is definitely a work of love and labor on the part of who started this. It is beautiful! Glad it has been saved and a shame that the family didn't see what a treasure this should have been for them. Yes, I'd definitely follow through with hand quilting on this one with all the other work that has been done on it. I like the suggestion of the piano keys. I hope the quilt had the fabric with it for the binding.