The Medicine Ledger DressThe Medicine Ledger Dress Dress design by artist, Keeli Littleleaf. Artist dress concept: This dress's creation is just as unique as the concepts within. Ledger style paintings have been around for many years serving as a medium to depict life events from the artist's perspective. Traditional paintings contain courtships, acts of warfare, and the annual herd counts for the plains indigenous population. The oldest on stretched hides and skins.