You don't need eyes or even ears to really listen to another soul. You just need heart and patience. Maybe that is what this piece is saying. Maybe it's saying the pointy-headed invalids are taking over. It's up to you to decide. This is a 6 by 4.5 inch gel pen drawing on medium bond acid-free paper. I also used color pencil. Yes, it's Original Jones Art. What did expect from northwest Austin, Texas? Rutabaga pie?