Now I’m not implying that people from Rhode Island, the smallest state in the union, get smaller hemorrhoids. But where else than Texas would someone walk around bragging about the size of their hemorrhoids. And as a side note – as a doctor, the little guy sitting on the exam table… well, that’s not the position we use to diagnose hemorrhoids. I hope one doesn’t think I’m making light of people with hemorrhoids. I know, hemorrhoids can be a big pain in the ass!