I have several women in my family that still do it the old fashion way. They create some Beautiful works of art and I have been begging for years to get one. One of them finally gave me a wall hanging while I was down there this summer. I treasure them. I have a couple from my grandmother on both sides of my family and will pass them down to my daughter one day.
That is awesome. I have to admit the one "quilted" pillow I made completely by myself was machine stitched on a small standard sewing machine. I still bare the scar from using a rotary wheel rather than creating strips by tearing the cloth. Nevertheless I am proud of it because I did cut and sew all the pieces and "quilt" them together prior to making a pillow.