I'm from SW PA and I've got to second everyone's opinion on the Stimulator. It work wonderfully for me. In fact, looking back on my fishing journal from last year, it was the most productive pattern for me.
Of course the sizes I use this pattern in are far smaller than they would use in the west. I tye it on the TMC #200R Hook down to size #18. The #18's imitate a black stonefly and a small green stonefly that hatch early in the Spring on a few streams here. I also use this fly as a searching pattern throughout the year. Because of it's buoyancy it is also a great fly to use to drop a nymph off of and use as an "indicator", which I do quite often. I usually tye Stimulator in sizes #10 through #18 in various colors. As an attractor I'm particularly fond of the "Royal" version - it's very productive and besides that, it's just a really pretty fly (pretty as far as stoneflys go anyway!). I use the #10's in late summer as a very effective Hopper pattern and tied in #12 in black it becomes a great cricket.
Hope this helps some.
-Darryl
My one wish is that when I die my wife doesn't sell my fishing stuff for what I told her I paid for it...