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Swan Gossip, Small Talk Studio, and the Slow Growth of Hand-Painted Clothes

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Swan Gossip, Small Talk Studio, and the Slow Growth of Hand-Painted Clothes

One night in December 2019, Emma Louthan realized in a mild panic that she needed a gift for a child’s birthday party the next day. She grabbed acrylic paint and some of her daughter’s old clothes and began creating an aquatic scene: pink koi swimming beneath white and green water lilies.

The birthday boy wasn’t much impressed by the artful present, but it planted a seed in Ms. Louthan’s mind.

A few months later, she tried her hand at a collection of about a dozen hand-painted adult sweatshirts and found a more appreciative audience. It was the beginning of Covid lockdowns, and Ms. Louthan, an artist in Philadelphia who graduated from Temple University’s Tyler School of Art and Architecture, was working as a freelance textile designer while at home with her husband and 1-year-old daughter.

The sweatshirts, which she had painted in the kitchen of her brick duplex in Germantown, sold out online almost immediately.

“I feel like I just kind of accidentally hit it at the right time,” said Ms. Louthan, 35. Though divisive and terrifying, the pandemic also brought out people’s softer sides. Suddenly, comfort was king. Everyone was baking or crafting. Small-batch ceramics and upcycled quilted coats soared in popularity. There was a compulsory return to the home — and a wholehearted embrace of the homemade.

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Noticing that people were drawn to “anything that could replicate a tie-dye look,” Ms. Louthan learned different dyeing techniques: botanical, ice, brush-applied. She traded her stiff acrylic paints for fabric versions, which she used to produce more sweatshirts and loungewear under her brand, Swan Gossip Shop.

As life slowed down during the pandemic, many other artists and independent designers also found success in the niche world of clothes with hand-drawn motifs — a trend spurred in part by Emily Adams Bode Aujla, who repopularized the senior cord tradition, which dates back to the 1900s, with her namesake brand.

Located across the country, these makers use a variety of methods, mediums and styles. In Los Angeles, Juliet Johnstone paints oversize, sherbet-colored flowers, butterflies and peace signs onto T-shirts and fitted work pants; in St. Louis, Lauren dela Roche and Curtis Campanelli of 69 Tearz use 19th-century farmer feed sacks as canvases for gothic hand lettering and rubber-hose-style cartoon characters; and in New York, Nick Williams and Phil Ayers of Small Talk Studio juxtapose imagery like American brand logos and botanical drawings on Japanese cotton.

In an era of mass-produced fast-fashion, these designers and others say they have experienced a growing demand for their meticulously rendered, one-of-a-kind garments.

Today, Ms. Louthan has a monthslong wait-list for her custom hand-painted clothes, which range in price from $250 (for T-shirts and sweatshirts) to $800 (for some pants). She’s partnered with local boutiques; the streetwear brand, Teddy Fresh; and national retailers including Anthropologie, Urban Outfitters and Free People on small batches of shirts, socks, bags and dresses.

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“People say they can sense a certain energy in the hand-painted stuff,” Ms. Louthan said one afternoon this summer, while carefully adding green to a tendril on a pair of bluejeans.

Although her brand now has national reach, Ms. Louthan still paints her clothing at home, mostly on her kitchen table. Her process usually takes multiple days and consists of three stages: outlining forms, painting them and then heat-setting everything with an iron.

“I feel like with the rise of A.I., people are swinging the other way pretty intensely,” she said. “I think when everything feels so impersonal, people do gravitate toward art.”

Ms. Louthan’s work is fantastical, depicting off-kilter, edenic scenes of cherubs, rabbits, butterflies, devils, swans, moons and streams. She creates storybook worlds, where the sun smiles and jesters run wild.

She draws inspiration from illustrators of vintage children’s books (like Beatrix Potter and Roald Dahl); the Impressionist artist Mary Cassatt (known for her reverent paintings of domestic life); and ancient art.

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Her daily walks to Awbury Arboretum, half a mile from her house, are also creative fodder. “There’s no roadblock,” she said, between what she sees blooming there and what she paints.

Before she had her first daughter, Rosie, in 2018, Ms. Louthan designed prints for mass market brands. Back then, she also painted by hand, but her designs would later be scanned, photoshopped and printed onto fabrics that would then be sold to companies like Gap, Old Navy and Alfred Dunner.

Ms. Louthan said her work today is “kind of the exact opposite of trying to design for thousands of people who want the same thing.”

Though Ms. Louthan occasionally orders plain white shirts or finds light-colored clothes in thrift stores, customers more frequently provide their own garments for her to paint (they have ranged from $800 Acne jeans to favorite old tees). It’s a way of giving clothes a second life, Ms. Louthan said, and making precious garments even more special.

The popularity of hand-drawn designs like hers can pose challenges. Producing a single garment is time consuming for artists and can also be physically taxing.

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Ms. dela Roche of 69 Tearz used to joke that she was a “doodle machine.” But now, because of arthritis and bone spurs in her hand, she said, “I literally can’t hand-draw anything anymore.”

Last year, she and Mr. Campanelli, her business partner, began screen-printing outlines of her designs onto garments. Only about 25 items are screen-printed before Ms. dela Roche, 42, switches up the imagery. Mr. Campanelli, 33, still hand sews each garment and hand-paints certain portions, ensuring that each piece is distinct.

“Even if I try my absolute best, I cannot do the same thing twice,” he said.

In 2023, Mr. Williams and Mr. Ayers, the Small Talk Studio designers, expanded their then-three-year-old business to include seasonal, ready-to-wear collections.

“We had all these ideas we wanted to put into motion and we wanted the operation to support more than just these specific hand-drawn garments,” said Mr. Williams, 33. “The other part of it was also that there’s a ceiling to how much you can charge and how much you can put out if that’s all you’re doing.”

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Of the current interest in such pieces, Mr. Ayers, 34, added, “We don’t know whether this is like a trend or not — you know, that people are into hand-drawn clothing.”

Ms. Louthan has had to make some adjustments, too. When she works with brands like Anthropologie and Free People, she is often tasked with fulfilling bulk orders of the same garment — 60 pairs of natural-dyed socks, for example, or 40 T-shirts emblazoned with kittens.

“They know that it won’t be all the same, but it’s as similar as possible,” she said. “I just work in batches, you know, kind of assembly-line style.”

Recently, Ms. Louthan has re-embraced the idea of licensing artwork to be scanned and printed on clothes. “I kind of hope to shift more into that in the future,” she said. “Honestly, just because hand-painting everything is physically — it’s just a lot.”

She’s striving to find a balance.

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“There’s always at least one moment of, I would say, growth in every single thing I paint,” she said, pointing to a small area on a T-shirt where the red paint of a tomato bled into the blue paint of a stream. “I always make sure to have a few moments where I tell myself, even if no one else notices or no one else appreciates, I just think it’s really cool.”

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After years of avoiding the ER, Noah Wyle feels ‘right at home’ in ‘The Pitt’

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After years of avoiding the ER, Noah Wyle feels ‘right at home’ in ‘The Pitt’

Wyle, who spent 11 seasons on ER, returns to the hospital in The Pitt. Now in Season 2, the HBO series has earned praise for its depiction of the medical field. Originally broadcast April 21, 2025.

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Doctors says ‘The Pitt’ reflects the gritty realities of medicine today

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Doctors says ‘The Pitt’ reflects the gritty realities of medicine today

From left: Noah Wyle plays Dr. Michael “Robby” Robinavitch, the senior attending physician, and Fiona Dourif plays Dr. Cassie McKay, a third-year resident, in a fictional Pittsburgh emergency department in the HBO Max series The Pitt.

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The first five minutes of the new season of The Pitt instantly capture the state of medicine in the mid-2020s: a hectic emergency department waiting room; a sign warning that aggressive behavior will not be tolerated; a memorial plaque for victims of a mass shooting; and a patient with large Ziploc bags filled to the brink with various supplements and homeopathic remedies.

Scenes from the new installment feel almost too recognizable to many doctors.

The return of the critically acclaimed medical drama streaming on HBO Max offers viewers a surprisingly realistic view of how doctors practice medicine in an age of political division, institutional mistrust and the corporatization of health care.

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Each season covers one day in the kinetic, understaffed emergency department of a fictional Pittsburgh hospital, with each episode spanning a single hour of a 15-hour shift. That means there’s no time for romantic plots or far-fetched storylines that typically dominate medical dramas.

Instead, the fast-paced show takes viewers into the real world of the ER, complete with a firehose of medical jargon and the day-to-day struggles of those on the frontlines of the American health care system. It’s a microcosm of medicine — and of a fragmented United States.

Many doctors and health professionals praised season one of the series, and ER docs even invited the show’s star Noah Wyle to their annual conference in September.

So what do doctors think of the new season? As a medical student myself, I appreciated the dig at the “July effect” — the long-held belief that the quality of care decreases in July when newbie doctors start residency — rebranded “first week in July syndrome” by one of the characters.

That insider wink sets the tone for a season that Dr. Alok Patel, a pediatrician at Stanford Medicine Children’s Health, says is on point. Patel, who co-hosts the show’s companion podcast, watched the first nine episodes of the new installment and spoke to NPR about his first impressions.

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To me, as a medical student, the first few scenes of the new season are pretty striking, and they resemble what modern-day emergency medicine looks and sounds like. From your point of view, how accurate is it?

I’ll say off the bat, when it comes to capturing the full essence of practicing health care — the highs, the lows and the frustrations — The Pitt is by far the most medically accurate show that I think has ever been created. And I’m not the only one to share that opinion. I hear that a lot from my colleagues.

OK, but is every shift really that chaotic?

I mean, obviously, it’s television. And I know a lot of ER doctors who watch the show and are like, “Hey, it’s really good, but not every shift is that crazy.” I’m like, “Come on, relax. It’s TV. You’ve got to take a little bit of liberties.”

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As in its last season, The Pitt sheds light on the real — sometimes boring — bureaucratic burdens doctors deal with that often get in the way of good medicine. How does that resonate with real doctors?

There are so many topics that affect patient care that are not glorified. And so The Pitt did this really artful job of inserting these topics with the right characters and the right relatable scenarios. I don’t want to give anything away, but there’s a pretty relatable issue in season two with medical bills.

Right. Insurance seems to take center stage at times this season — almost as a character itself — which seems apt for this moment when many Americans are facing a sharp rise in costs. But these mundane — yet heartbreaking — moments don’t usually make their way into medical dramas, right?

I guarantee when people see this, they’re going to nod their head because they know someone who has been affected by a huge hospital bill.

If you’re going to tell a story about an emergency department that is being led by these compassionate health care workers doing everything they can for patients, you’ve got to make sure you insert all of health care into it.

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As the characters juggle multiple patients each hour, a familiar motif returns: medical providers grappling with some heavy burdens outside of work.

Yeah, the reality is that if you’re working a busy shift and you have things happening in your personal life, the line between personal life and professional life gets blurred and people have moments.

The Pitt highlights that and it shows that doctors are real people. Nurses are actual human beings. And sometimes things happen, and it spills out into the workplace. It’s time we take a step back and not only recognize it, but also appreciate what people are dealing with.

2025 was another tough year for doctors. Many had to continue to battle misinformation while simultaneously practicing medicine. How does medical misinformation fit into season two?

I wouldn’t say it’s just mistrust of medicine. I mean that theme definitely shows up in The Pitt, but people are also just confused. They don’t know where to get their information from. They don’t know who to trust. They don’t know what the right decision is.

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There’s one specific scene in season two that, again, no spoilers here, but involves somebody getting their information from social media. And that again is a very real theme.

In recent years, physical and verbal abuse of healthcare workers has risen, fueling mental health struggles among providers. The Pitt was praised for diving into this reality. Does it return this season?

The new season of The Pitt still has some of that tension between patients and health care professionals — and sometimes it’s completely projected or misdirected. People are frustrated, they get pissed off when they can’t see a doctor in time and they may act out.

The characters who get physically attacked in The Pitt just brush it off. That whole concept of having to suppress this aggression and then the frustration that there’s not enough protection for health care workers, that’s a very real issue.

A new attending physician, Dr. Baran Al-Hashimi, joins the cast this season. Sepideh Moafi plays her, and she works closely with the veteran attending physician, Dr. Michael “Robby” Robinavitch, played by Noah Wyle. What are your — and Robby’s — first impressions of her?

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Right off the bat in the first episode, people get to meet this brilliant firecracker. Dr. Al-Hashimi, versus Dr. Robby, almost represents two generations of attending physicians. They’re almost on two sides of this coin, and there’s a little bit of clashing.

Sepideh Moafi, fourth from left, as Dr. Baran Al-Hashimi, the new attending physician, huddles with her team around a patient in a fictional Pittsburgh teaching hospital in the HBO Max series The Pitt.

Sepideh Moafi, fourth from left, as Dr. Baran Al-Hashimi, the new attending physician, huddles with her team around a patient in a fictional Pittsburgh teaching hospital in the HBO Max series The Pitt.

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Part of that clash is her clear-eyed take on artificial intelligence and its role in medicine. And she thinks AI can help doctors document what’s happening with patients — also called charting — right?

Yep, Dr. Al-Hashimi is an advocate for AI tools in the ER because, I swear to God, they make health care workers’ lives more efficient. They make things such as charting faster, which is a theme that shows up in season two.

But then Dr. Robby gives a very interesting rebuttal to the widespread use of AI. The worry is that if we put AI tools everywhere, then all of a sudden, the financial arm of health care would say, “Cool, now you can double how many patients you see. We will not give you any more resources, but with these AI tools, you can generate more money for the system.”

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The new installment also continues to touch on the growing corporatization of medicine. In season one we saw how Dr. Robby and his staff were being pushed to see more patients.

Yes, it really helps the audience understand the kind of stressors that people are dealing with while they’re just trying to take care of patients.

In the first season, when Dr. Robby kind of had that back and forth with the hospital administrator, doctors were immediately won over because that is such a big point of frustration — such a massive barrier.

There are so many more themes explored this season. What else should viewers look forward to?

I’m really excited for viewers to dive into the character development. It’s so reflective of how it really goes in residency. So much happens between your first year and second year of residency — not only in terms of your medical skill, but also in terms of your development as a person.

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I think what’s also really fascinating is that The Pitt has life lessons buried in every episode. Sometimes you catch it immediately, sometimes it’s at the end, sometimes you catch it when you watch it again.

But it represents so much of humanity because humanity doesn’t get put on hold when you get sick — you just go to the hospital with your full self. And so every episode — every patient scenario — there is a lesson to learn.

Michal Ruprecht is a Stanford Global Health Media Fellow and a fourth-year medical student.

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