She was a little surprised this turned out to be her best-selling piece. Kent thinks it's something about the expression. The earliest version she saved of this, from June 23, 1999, had a more unhappy look.
Originally called "things not like before," its direct inspiration was her loss of ability to hold her head up. A similar tilting of the head can be seen in several other prints from the show - my matisse, hand and face, heart on my sleeve, ridiculous body blues - and some pieces that weren't in the show. Some are from before she couldn't hold her head up, she liked the look in a general way.
The version at the top of the page is a slightly delightened version of the one sent to the printer:
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