I drew the 3 hands in 2003. I used the blind contour drawing technique where I looked at the hand I was drawing with a pencil, but not the paper I was drawing it on until I rendered the image in ink. The crosshatching in the background was drawn for my single-page comic In the Clouds which I self-published as part of Momentos in 2009.
The various images were collaged together in 2011.