The bad reviews I saw from other Appalachians convinced me it would make me mad. "We are using taxpayer dollars to buy soda for the SNAP program, and we are using taxpayer dollars to rip teeth out of people's heads who can't afford dental care and are on Medicaid," says Dana Singer, a research analyst at the Mid-Ohio Valley Health Department in Parkersburg, W.Va., who wants to see stricter regulations on sales of all sugary beverages in the region. He was the first person to publicly question the coal operators who came to extract valuable natural resources in Appalachia using processes that obliterated the terrain through mountain top removal. He was just carrying a big case of Mountain Dew." Something known as "Mountain Dew Mouth" is rotting children's teeth in poor regions of the country, especially Appalachia. Something went wrong. Use of thesesubstances is rampant in Appalachia; a single Kentucky county filled prescriptions for over 2 million doses of painkillers last year, which is about 150 doses for every man, woman and child. Join me as I explore Marion. His family, the Greens had lived in this holler (4) for many generations. "What Mountain Dew has going for it is that it's high in caffeine and high in sugar," Harris says, adding, "Students tell us it tastes best, and it's a habit.". Dentists have noticed that the toll soda takes on teeth can resemble the damaging impact of meth. Chaos begets chaos. The phrase is inherently noxious. Why would this kind of line-in-the-sand stance about a beverage come hundreds (er, thousands) of cans into a relationship? As a defense mechanism, Ive become a trivia expert on the most esoteric facts available about Mountain Dew so I can titter them off as a nervous shield. February 15, 2009 SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. According to Eater, Mountain Dew was invented by Barney and Ally Hartman, Tennesseans who were looking for a mixer to accompany their whiskey in the 1930s. But she and Almon had their own conditions: They wanted to locate the oral health study in a new sort of prenatal program at Yale created by nurse-midwife Sharon Rising called CenteringPregnancy. EARLY POPULATION. "That guy! I find Caudills complicated legacy a reminder that there is a lot more to the evolution of a people than the victimhood that has been placed upon them. Some 67 percent of West Virginians age 65 or older have lost six or more teeth owing to tooth decay or gum disease, according to the Centers for Disease Control and Prevention. Growing up in Eastern Kentucky, Mountain Dew was not a novelty, not an ironic goofjust simply a way of life. The drink is also native to the region. I later found out that a dead body had been found and recovered from the spot where the lights originated. 26 August. According to a report from WiseG About Us Nonetheless, the factors that contribute to poor dental health are not simply Mountain Dew; they are not even specifically linked to Appalachia. It is not dense, it does not use large words or complicated concepts. Each time I hear it, I feel angryangry and ashamed. Mountain Dew is mountain slang for "whiskey"; the phrase appears in Irish folk songs from the late 19th century and in an American folk song protesting Prohibition. Figuring out how to chip away at problems so deeply embedded in a region is astronomically much more complicated than a micro lens shot of a single caffeinated beverage. Few of the women associated dental cavities and oral disease with pregnancy or prenatal problems, despite mounting medical and dental research showing the linkage, especially in Kentucky, said Jeffrey Ebersole, director of research at the University of Kentucky Dental Schools Oral Health Center. Today most of the time the superstitions are said in a joking manner. Its a sad story, although its also clear from his writing that there was love despite the dysfunction. All last fall I resisted reading J.D. In December, when my boss urged me to read it hes from Appalachia just like you I did not read it. He also fetishizes his idea of being a hillbilly and the traits he believes go along with that. Nothing great will ever come from consuming yellow dye #5. And she expects that number to grow as jobs in the region continue to disappear. In this use, it does not relate to any type of demonic or evil activity as has . "Mountain Dew" is a centuries-old mountain slang term for moonshine, which Tennessee-bred creators Barney and Ally Hartman found fitting because their bubbly elixir was initially crafted as a . If theres a pop culture reference about DMD you need to knowincluding that bopping Lana Del Ray jam and its brief mention in a recent Paul Muldoon poemIm your girl. The maternal death rate in southern Appalachia was 12.7 per 100,000 births, compared with rates of 15.1 per 100,000 for the entire rural United States and 16.3 per 100,000 in the nation as a whole. Originally the care of the poor was relegated to the church, which regarded the poor to be of the highest moral status. The Appalachian Mountains stretch from the Canadian province of Newfoundland and Labrador to northern Alabama and Georgia. The two types of rock that characterize the present Appalachian ranges tell much of the story of the mountains' long existence. POSTWAR TO THE PRESENT. Six years ago Ebersole was looking for a site where he could undertake a program to demonstrate in the field what clinicians were telling him in their practice. Upward of a fifth sometimes a quarter of the babies they were delivering at the highly regarded Trover Clinic were below weight and premature. Appalling already, the state of dental care in America faces even greater challenges with the threat of the Trump-backed American Health Care Act currently being debated in the Senate after passing in the House at the beginning of May. Regardless of cultural influences Mountain Dew-mouth or not the dental health epidemic in America is rooted in the historical and political legacy of an unequal system. TikTok video from Katie Country (@katie.country): "They call it that good ole Mtn Dew #smalltown #appalachia #comedyvideo". Free shipping on many items | Browse your favorite brands | affordable prices. This is due to the influence of Scottish and . That is what brutes do. I abruptly found myself assessing everyone I met, trying to determine whether or not Caudill would consider them dullards. In late July 2013, I was invited to drink beer on a Friday night with a group of people in West Columbia, West Virginia. Kentucky is also the state with the most smokers, followed closely by West Virginia, according to aGallup study. A suburb of Washington, D.C., could have one dentist for 350 residents, while Dickenson County, Virginia, has one dentist for every 15,468 residents. Dew Baby") is a song written by Lana Del Rey and Mike Daly and produced by Emile Haynie and Jeff Bhasker. I dont really have any answers. Mammoth Cave in west-central Kentucky spans 420 milesmore than twice the size of the second-longest,. Beer, grilled chicken and cigarettes were offered in unlimited supply. And there's another reason why soda mouth is so pervasive in Appalachia, Harris says: the region's distinct culture of sipping soda constantly throughout the day. The latter, simply titled "Mountain Dew," was composed in 1920 by Bascom Lamar Lunsford, an attorney in Asheville, N.C. Vances book is simplistic, and it generalizes. But what is "Mountain Dew Mouth?" The beverage industry has repeatedly challenged claims that its products are destroying teeth. Dozer had had 20 beers that day and I remember that it was muggy and hot out, he was super sweaty, and my hands were kind of slipping along his body. The ties that bind know no distance. The Appalachians are one of the three major mountain ranges in North America, alongside the Rocky Mountains and the Sierra Nevada. They, like Vances family and many other Appalachians, came home for regular visits and the annual reunion. Harris says that dental problems are especially bad because dental care is harder to get in Appalachia, which includes many of the poorest and most remote communities in the country. Arent there more important factors to consider like physical abuse or abandonment? Probably not. The coal operators, who came from elsewhere to buy the land, blew up the mountains. We use cookies to help better serve your experience. no shoes!) The lights, claim the legend, are the ghosts of grieving women still searching the mountainside for the bodies of fallen warriors. Today, theres a Mountain Dew to suit every tastefrom Code Red (cherry) to Baja Blast (lime)and enough generic knockoffs with names like Mountain Lion, Mountain Lightning and Mountain Holler to really put an exclamation point on the rural connection. How did Appalachia become stereotyped by a popular beverage? (Farmland is even lighter than usual in this image because the fields are fallow after the harvest.) On our way down the daylight faded and we navigated the terrain of the trail from our ATVs headlights. Please enter a valid email and try again. It was not a novelty, not an ironic goofjust simply a way of life. It asks very little from the reader. Letter to William Shockley. Reply . THE APPALACHIAN Mountains of eastern North America comprise a north to south-tending range that extends for 1,600 mi (2,500 km) from the Gaspe Peninsula in Atlantic Maritime CANADA to northern ALABAMA in the UNITED STATES.Uplifted by the collision of continents ancestral to North America and Africa 270 million years ago, the Appalachian Mountains are the oldest mountain range in North America. On April 28, 2009, Del Rey tweeted "Mike Daly is Really fucking good. And by quite a wide margin, one might add. Jin Lee/Bloomberg via Getty Images Though pain and discomfort are unfortunate enough, lack of dental care presents other, more enduring problems. See other posts by Stacy here. "We encourage women to be caregivers themselves, to pass it along to family and friends and think, Im doing some good that helps people., These women share their particular strategies, how they're dealing with particular problems, says Sharon Riding. Dozer had collected several people along the way so by the end of the ride, there were 4 of us on the ATV. A Brief Appalachian History. He cites a 2009 ABC report on Mountain Dew mouth in Appalachia, and the outraged reaction of Appalachians. SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. are in the service sector, yet these jobs are hard to come by without a certain degree of oral health. It isnt that Appalachians cant face the truth. The Story Behind the Song Bascom Lamar Lunsford first wrote the song in 1928. For me, that argument continues to manifest itself on both a personal and interpersonal level. Without access to preventative measure like regular oral checkups and teeth cleanings, as well as comprehensive care, Americas poor fight an uphill battle, involving increased health risk, social stigma and reinforced economic disadvantage. It was officially developed in Knoxville, Tennessee, in the mid-1900s, but it has ties to the wheat and rye distilled by Irish immigrants who settled in the region as coal miners during the. As a memoir of a rough childhood, its fine. I have 26 first cousins, not counting step-cousins, second cousins, etc. The term conjuring is used by people living in Southern Appalachia (including North Georgia, North Carolina, Tennessee, South Carolina, Alabama, Kentucky, West Virginia and Virginia) to describe a practice of folk healing done by members of their remote communities. With limited benefits through Medicaid and no benefits through Medicare, in order to receive insurance, people must purchase private plans or employer-provided plans. Then, I knew I shouldve seen it coming. My dada gentle, 30-year lawyer who likes to describe himself as an "old steady sheepdog"called me a couple of months ago to describe the scene unfolding near his office in my hometown. Chapter 1: Meet the Man Who Focused the World on Eastern Kentuckys Woes.Lexington Herald-Leader (Lexington)16 Dec. 2012. According to Al Jazeera's analysis of US census data, it is the nation's poorest white-majority county in terms of annual median household income. /* Add your own Mailchimp form style overrides in your site stylesheet or in this style block. Cherokee Indians were the main Native American group of the Southern Appalachian and Blue Ridge region, but there were also Iroquois, Powhatan, and Shawnee people.. In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. Since then, she's been leading the charge to come up with policies to tackle the problem. We saw that our women werent getting preventative [dental] screening. The Appalachian people were denigrated so that they could be exploited because they owned valuable land with natural resources. The coal operators, who came from elsewhere to buy the land, blew up the mountains. Employer-provided plans assuming the patient has a job and the job offers a plancan exceed $500 a year or more and do little to ease the burden when other concerns take priority. The meaning of the name is "mountain thrower" and it has a Sanskrit origin. MS. Anne and Harry M. Caudill Collection, 1854-1996, Special Collections, University of Kentucky Libraries, Lexington, Kentucky. 2. 5. Oral care practitioners are familiar with the term "Mountain Dew Mouth," as the particular brand has far more acid and sugar in comparison to other sodas. In that same exodus, several of my mothers uncles moved to Ohio and Detroit for work. It's also referred to as "mountain talk." But there's variation within the dialect, just as there is among the nearly 26 million people who populate the diverse region, which covers 13 states. The Appalachians run from Labrador south to Alabama, about 2,100 miles, in all. Its not even, really, an acceptable guilty pleasure. So even though hospital visits for dental problems cost an enormous amount to the health care system as a wholean estimated $2.7 billion over a three-year period according to one majorstudy people rarely receive the treatment they need. But, like so many, I feel helpless. Poor Law Commissioners. The Appalachian Mountains appear striped because the ridges are forested, providing a dense and dark canopy cover, while the valleys are farmed with crops that generally appear as lighter-toned areas. Very well said indeed.Vance knows nothing at all about Appalachian or Scots Irish culture.His experience is that of any disassociated urban ethnic group filtered and bankrupted by a corrupt academic system that values social promotion.The disrespect of women and moral ambiguity on display in his poorly written value bin book is disgusting,and was promoted in exactly the same Big East / NYC fashion as the recently deceased corporate coaching group NXIVM. Appalachian Mountains. That's according to calculations by Singer, who is working with Harris. 3. First there are the most ancient crystalline rocks. But dentists beg to differ. 1. On the tombstone, there were pictures of Butch partying and having a good time. You dont have to work to read this book. That's because the ABC special took great pains to show the effects of poverty on children in the Appalachian region a territory that stretches from around southern New York state to Alabama and coined a term, "Mountain Dew Mouth," which would be repeated in stories about Appalachian health care for years to come. Its poor and thats probably being kind, Ebersole said in an interview last month in Lexington, but I cant say it's that much worse than a lot of the nation. Sitting at my kitchen counter with DMD in hand while my then-boyfriend concocted an intricate lunch, without lifting his eyes a gauntlet was thrown: "You have to stop drinking Diet Mountain Dew. As Healthline tells us, the sugar in sodas reacts with the bacteria in our mouths to form a dangerous acid, breaking down the protective layers in your teeth and causing cavities. Brothers Barney and Ally Hartman, who had moved their business from Augusta, GA, to Knoxville in 1932, initially bottled a lemon-lime mixer they jokingly called Mountain Dew, a 19th century nickname for moonshine, for their own after-hours consumption. For the 379 women enrolled in the study, pre-term birth rate, or PTB, was 6.6 percent against 14 percent for Hopkins County generally in the preceding years. How could I feel ashamed in my own house? Hes been everywhere, touted as having some new and amazing insight into the white rural Appalachian voter. This name has a Celtic origin and the meaning of the name is 'he who comes from the mountain'. Did he really just tell me what to drink? They offer the services they can, provide prescriptions for painkillers and antibiotics, and recommend a dental clinic for a follow-up. (This story has been corrected since it was originally published.) So millions of Americans go without dental insurance. It was, in his eyes, a more intimate, longterm partner than he had become. All rights reserved. He cites a 2009 ABC report on "Mountain Dew mouth" in Appalachia, and the outraged reaction of Appalachians. 5. Appalachia isnt a pity case, and Mountain Dew is only sideshow to the heart of the matter. Unstable people beget instability. With time, a toothache can become another entity entirely. My research into the origins of this initiative led me to Harry Caudill, a small town lawyer from the eastern Kentucky town of Whitesburg. Close. He mentions the law school mentorship of Amy Chua, who went on to write a book about Chinese tiger mothers. The sun was setting and flashing red lights from an ambulance and several cop cars were lighting up the sky on the Ohio side of the river. (Note: I have made a couple of minor edits since this piece was first posted.). The Appalachian Mountain shiners are part of the hillbilly culture. For me, beginning to think about (and talk about) shame as an emotion was like searching for a word thats been on the tip of your tongue for ages and then comes to you like a thunderbolt in the middle of washing dishes or when youre nodding off to an X-Files rerun. Should I credit all this to their hillbilly heritage? Appalachia has a distinct culture of sipping soda constantly throughout the day. Between about 1.1 billion and 541 . Unless policy and behavior change, were not going to improve the health and its links to systemic health.. Even today when I discuss drinking it in public, people look at me incredulously as if waiting for a punchline. Vance grew up in an Appalachian ex-pat family in Ohio with rough-talking relatives who thought nothing of trashing a store until they got what they wanted, and who regularly communicated by screaming at each other. MADISONVILLE, Ky. Nurse LeAnn Todd-Langston and nurse-midwife Sarah Almon had long known their rural west Kentucky county faced a crisis, but it was getting worse. It's a thing, reports the Salt blog at NPR, and public health advocates in West Virginia and throughout Appalachia say the damage is real and widespread. Noxious substances merely exacerbate a national problem that is affecting every region of the United States. "Oh, wow," my boyfriend remarked, a little awestruck. (The city of Cincinnati saw fit to make it illegal to discriminate against someone of Appalachian origin). He is telling, in a very simple and easy to read fashion, a story, and stories trump textbooks every time. That approach never really worked. "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference," says public health researcher Dana Singer. "If we aren't gaining any ground, isn't it time to revise our strategy?" If you calculate gum tissues inside and outside of the teeth its an area the size of the palm of your hand. Agastya. This year marks the 50th anniversary of Lyndon B Johnsons January 1964 State of the Union address. Germs collect, white blood cells accumulate, pus escalates, and suddenly a swelling, debilitating dental carbuncle has taken residence in ones mouth. Consider what every movie star, news anchor and television personality has in common: not height, weight or ethnicity (though there is certainly an enormous amount of room for more diversity). Its also a dramatic story. They dont scream at each other, they dont fight loved ones or strangers as a way of life. Instead, I drink Diet Mountain Dewswish it around in my mouth, feel it all syrup and fizzand pray to God I never become a person who gets above my raising. Each weekend, local residents can be found drinking and have a good time while riding around on these trails with All Terrain Vehicles (ATVs) also known as 4-wheelers. As a result, Hannah made a 12-minute audio documentary about the experience for the Appalachian Media Institute, called "Foster Care in a Pandemic World." New Fathers and Quarantine Babies. Sixteen percent of the women had abscessed teeth. And yet, as Priscilla Harris, an associate professor at the Appalachian College of Law told NPR, battling a drink that has become so ingrained in the culture of the region is not easy. Reply We stopped along the way and enjoyed beer with others who were out recreating. This legend centers around the Bell family. A Fresh Look at Appalachia50 Years After the War on Poverty Kealey Lowe is a student at Stone Memorial High School. More people tend to donate money to charities to help people in other . Thats one reason why their babies get cavities so fast., After more than four years of the oral health and centering program -- during which it has served 500 women -- Todd-Langston and Almon say they believe attitudes in the county may be beginning to change. Sixty-five percent of our women are on Kentucky Medicaid, Todd-Langston, manager of the Trover Center for Women's Health, told me. . In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. Other forces are at play. The fact that it IS a narrative is one big reason why his book has gotten the attention it has, when more deserving explanations of Appalachian culture and history have been perhaps overlooked. In a region long undergoing a cultural and economic crisis, Appalachias thirst for Mountain Dew is perhaps the lesser of many evils. While millions of Americans suffer because of their teeth, another portion of America supports a $110 billion-a-year dental industry, investing in procedures such as gum contouring and spending up to $2,000 on a single veneer. Just, turn off your brain before you read this post, folks. Shouldnt he have flown the coop at the first pop-a-top? That this violence and abuse was somehow innate to what they were, caused by the culture from which they had come. Frequently he attributes rough behavior and inexperience with the world to, essentially, hillbillies being hillbillies. When, in 2006, Todd-Langston got a call from Jeffrey Ebersole proposing to establish a full dental service for pregnant moms, she said it was like a gift from heaven. Named after mountain slang for moonshine, Mountain Dew was sold to Pepsi in 1964, where the soda went national. Associated Press articles: Copyright 2016 The Associated Press. At the University of Maryland dental school, ateam of researchers explored the effect of toothaches in poor Maryland adults like Matello: 44.3 percent of their respondents reported having experienced more than five toothaches in the past 10 years. (New York: Pergamon) 1977, 6. Oral, chronic infection untreated is getting into the bloodstream 24 hours a day, seven days a week, seeding systemic circulation. A Mountain Dew Code Red, that is. In my latest video I discuss folklore and superstitions. Part 1 covered diabetes in Appalachia. The Bell Witch. The Appalachian Mountains are nearly 2000 miles long. A culture in crisis.. While Mountain Dews target audience today might be neon tank top wearing bros and skateboarding teenagers, my Appalachian demographicnamesake and allwere the original consumers. Time and time again, Appalachians are portrayed as individuals who are unable to get out of their own waythe kind of people who must have change enacted upon them in order to better themselves. They were in pain, and theyd be hurting at school.. But theyre no more the norm than people who arent like that. Bill Estep and John Cheves. Central Appalachia is No. I think you are supposed to wear jeans when you ride these things. The taste of Appalachia . People are held personally accountable for the state of their teeth in ways that they are not held accountable for many other health conditions.". Moonshine is available in a barrage of flavors at most local liquor stores, but it won't be brewed from a hidden still. We can identify them in the plaque in blood vessels leading to arteriosclerosis. By now, we've all heard of the health risks posed by drinking too much soda. They have the common ground of becoming a mother., The patients are accountable to each other, said midwife Sarah Almon. Accept Cookies. This often resulted in elaborate ATV trails because it was the cheapest and most popular reclamation option. Many lives were lost. TheADAhas reported that Obamacare's requirement to provide dental care for children under 19 will be rolled back, and the 5.4 million adults who gained coverage under the Medicaid expansion will lose all dental benefits. Had become is a student at Stone Memorial High school post, folks, seven days a,. Have made a couple of minor edits since this piece was first posted. ) oral, chronic untreated. Book about Chinese tiger mothers, Kentucky Press articles: Copyright 2016 the associated Press Focused the on... Chua, who went on to write a book about Chinese tiger mothers hundreds ( er, thousands of. To drink that the toll soda takes on teeth can resemble the damaging impact meth... By now, we 've all heard of the highest moral status leading to arteriosclerosis style.... 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