Take it literally

[Penguin]

Hell, this song could be about actual ticks and leeches themselves! Ever thought of that? Eh? EH?!

It's also right before Lateralus, which I think is about overthinking, overanalyzing! Hehe what you think?

[Cronos]

Maybe not...

[rpulkys]

umm i somehow doubt that.....
maybe hooker with a penis is actually about a ho with a dick then? eh!? eh?!

[Penguin]

True!! Perhaps the band simply doesn't like ticks and leeches. Maybe one of the members had an encounter with a hooker with a penis! That song isn't as easy to take literally though :P