I needed to make another thank you for card for a nurse again, but felt the need for a change from the ones I've quilled in the past ( 1 and 2 ). So instead I used my much neglected die cutter to cut one that I could shape and sculpt instead. Starting off with her initial, I shaded the edges with an ink pad and adhered foam dots on the back, just to give it a bit more dimension. Everything was cut from metallic paper, so you'll notice a hint of sheen catching highlights. Adding the sculpted die punched flowers at the top left was easy, and just gives a bit of character to the initial. It's the stethoscope that I enjoyed making most. I envisioned a doctor hanging their stethoscope around their neck or on some equipment, signifying they were done for the day. So that's what I did on the corner of the letter. Letting the tube wrap around itself was pure fun. It's hard to see here, but the circle holding up the heart is raised a bit because I added some hole punched c...