Michiganese Americans use their hand facing upwards to represent their state. Sometimes as if it were a mitten, using the right hand. Likewise Pennsylvania can be represented by the left hand. Philadelphia is at the fingertips in between the pinky and ring finger. Washington Crossed the Delaware at the middle finger so he could figuratively attack the Prussians. Penn State is just below the middle finger. Harrisburg is in the crevasse between the pinky and ring finger.
Also note you have to scrunch your thumb is semi-triangular shape to have the state appear on your hand. Thus the it is Lake Erie County.
And yes, PA and MI are what I call fraternal twins via their matching flags!