While some people in this region may refer to the soda as "Mountain Dew," it is not accurate to say that all people from Appa. But over in Appalachia, the region that stretches roughly from southern New York state to Alabama, the fight against soda is targeting an altogether different concern: rotted teeth. We can identify them in joint infections that contribute to arthritis., He paused. "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public. The elderly are affected, too. BIBLIOGRAPHY. In the south-east mountains of the United States this word is often used instead of hollow; A small rising valley region between two hills or mountains; often containing a creek. The distinction between dental care and health care extends to insurance. He invited everyone to his home to celebrate the end of a long workweek, every week. We told them dont put Mountain Dew in a baby bottle, dont put that baby to sleep with juice, dont let people kiss that baby, to prevent bacteria being transferred, Almon said. 3. And by quite a wide margin, one might add. Here she races at Crossville Raceway in Cumberland County, Tennessee. Whats more, 40 percent of all births are paid for by Medicaid. "Students tell us it tastes best, and it's a habit." Bascom Lamar Lunsford, born in Mars Hill, North Carolinain 1882, was what amounts to the first Appalachian ethnomusicologist- but not at first. ------------------------------------------, the link between transportation and healthcare. Unstable people beget instability. Less than 300 feet into our journey home, we rolled and tumbled. */. Pat made sure that all guests were taken care of. He concluded that Appalachia could not be fixed because its people were broken. Both sodas and energy drinks, he says, "are more damaging than food.". As soon as it aired on February 7, 2016, the Super Bowl ad for Mountain Dew's energy drink "Kickstart" was trending online. It also became clear fairly quickly that a lot of my shame coalesced around one thing: my relationship with Diet Mountain Dew. At the top of Pats back, near his neck was a tattoo that read honkey. I was pretty convinced I was spending my evening with Caudills dullards. . Chaos begets chaos. "I see erosion from the acids in the drinks, and decay from the sugars," says Steven Ghareeb, spokesman for the Academy of General Dentistry and a practicing dentist in South Charleston, W.Va. "They go hand in hand many times, and they're equally bad. 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. In the kitchen that day, Mountain Dew was used as a stand in for a harder conversation about our waning relationship that we had been dancing around for months. Basic education, says Harris, is also needed: "We also just need to let people know that you can drink these drinks safely, but they can also do harm. After getting an x-ray and having the tooth extracteda procedure that would have cost from $600 to $800 in a regular dentist's office Matello left the clinic, wondering why people who work hard and put faith in their government for help are obligated to endure such demeaning treatment. It isnt that Appalachians cant face the truth. No. While you may think of " Appalachia " as a region of the southern United States, the full Appalachian Mountains have a massive (not to . "It makes no sense to be paying for these things twice.". TIL that due to the popularity of Mountain Dew in the Appalachian region dentists there have pegged it as the leading cause of poor dental health or as they call it "Mountain Dew mouth". 16 2013, Updated 11:19 p.m. Perhaps most shocking was how poor the womens general oral health was at the start of the study. The meaning of the name is "mountain thrower" and it has a Sanskrit origin. Just as the word Appalachia is generally pronounced Ap-pa-LATCH-a in the southern mountains, but more commonly Ap-pa-LAY-cha in the rest of the country, so too is there some dispute over the. And he must have one hell of a publicist. For me, this photograph is valuable because it shows us how little we actually know when viewing this image, any image. Arent there more important factors to consider like physical abuse or abandonment? Growing up in Eastern Kentucky, Mountain Dew (and its diet counterpart, my beverage of choice) was an omnipresent force, its signature emerald-tinged, translucent 20-ounce bottles filling up coolers at backyard barbecues and littering the weed-lined backroads. Good ol' North Carolina. Photograph taken during Cecil Sharp's folk music collecting expedition: British musician Sharp (1859-1924) and his assistant Dr Maud Karpeles (1885-1976) collected folk songs from the mountain singers of the Appalachians (North Carolina, Tennessee, Virginia, West Virginia, and Kentucky), between 1916 and 1918. Sixty-five percent of our women are on Kentucky Medicaid, Todd-Langston, manager of the Trover Center for Women's Health, told me. Nobody ever told them not to. Once a month, a University of Kentucky dentist also joins the group for oral treatment. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. Frank Browning reported for nearly 30 years for NPR on sex, science and farming. Probably not. This is why the folks of Appalachia reacted strongly to an honest look at some of its most impoverished people.. Like many Americans without dental insurance, it was not until Matello heard a free dental clinic would be held in the town of Salisbury, just 20 minutes away from her home, that fixing the cracked tooth seemed like a possibility. As if I was living in some sort of divinely staged cosmic play, my theoretical interest in shame came home to roost shortly after my exploration began one Sunday afternoon at home in New Orleans. I have 26 first cousins, not counting step-cousins, second cousins, etc. Two days later, she tweeted lyrics . Oops. He uses this word over and over, beating it into the readers consciousness. 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. Just under 30 percent had periapical infections or pericoronitis inflammation. The Appalachians run from Labrador south to Alabama, about 2,100 miles, in all. Last week, my tiny county announced the statistics for heroin busts so far in 2015: nine deaths and 76 overdoses in three months. She's received a grant from the Robert Wood Johnson Foundation to study the problem. So we were saved and mostly unharmed. All share an enviable smile gleaming, bright white, smooth, ovular teeth. 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. "Oh, wow," my boyfriend remarked, a little awestruck. Before pursuing that lofty goal he was a lawyer, which is where he got the source material for Mountain Dew. The Appalachians are among the oldest mountains on Earth, born of powerful upheavals within the terrestrial crust and sculpted by the ceaseless action of water upon the surface. In January, when an acquaintance who worked on Hillary Clintons campaign touted it on Facebook, I was unable to argue because I had not read it. The soda is ruining teeth, in an epidemic known as Mountain Dew-mouth. The acid causes erosion and the sugar abets decay. In order to cover high overhead costs, pay back dental school bills and earn an income, many dentists refuse to treat people on Medicaid. In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. This kid is a hillbilly, which makes it special. Destroying store merchandise and threatening a sales clerk were normal to Mamaw and Papaw: Thats what Scots-Irish Appalachians do when people mess with your kid, Vance writes on page 40. It's estimated 26% of preschoolers in Appalachia already have tooth decay. By the end of the programs second year, the research results began to come in on the health of the newborns. Please enter a valid email and try again. More than a third of Americans do not have dental coverage, according to aWashington Post article. Part 1 covered diabetes in Appalachia. Chaotic people beget chaos. Folklore & Superstitions in Appalachia. We stopped along the way and enjoyed beer with others who were out recreating. 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. He is doing what outside media has done to Appalachia for generations. Nearly half said that their most recent toothache had caused them the worst pain possible and interfered with many aspects of their daily lives. Oral, chronic infection untreated is getting into the bloodstream 24 hours a day, seven days a week, seeding systemic circulation. After Kennedys death and Johnsons announcement, millions of government dollars were doled out to initiatives that would solve these problems and turn America into the Great Society it was meant to be. At 10.4 percent last year, the county's . Its that we know the truth isnt so generalized, that Appalachia isnt just a culture of poor white people, that ignorance and poverty and drugs and violence arent its only components. Elbio. Chapter 1: Meet the Man Who Focused the World on Eastern Kentuckys Woes.Lexington Herald-Leader (Lexington)16 Dec. 2012. Singer adds, "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference.". There were two versions of this song, the first version was written in 1928 and the second was in 1935. It was not until the Affordable Care Act passed under President Obama in 2010 when Medicaid gave dental care to children under 19. As a memoir of a rough childhood, its fine. CIVIL WAR ERA AND INDUSTRIALIZATION. The coal operators, who came from elsewhere to buy the land, blew up the mountains. Like newspaper stories and TV news before and since the War on Poverty, Vance has looked at Appalachia and seen a narrative of a place that needs to be fixed, a place where things have gone wrong. Should I credit all this to their hillbilly heritage? Accept Cookies. Over the next six weeks I returned regularly, befriending the extended group of people that spent time at Pats house. This is due to the influence of Scottish and . How the circumstances of a people cannot be defined through an individual still photograph. This legend centers around the Bell family. First there are the most ancient crystalline rocks. Upward of a fifth sometimes a quarter of the babies they were delivering at the highly regarded Trover Clinic were below weight and premature. No one I met on the trails that day mentioned the rape of Appalachia nor did anyone mentioned that they missed the mountain. Copyright 2023 Salon.com, LLC. On the tombstone, there were pictures of Butch partying and having a good time. Bad oral hygiene could be significantly remedied through the American health care system; that is, if the United States adopted a holistic approach to health care. 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. As the story goes, John F Kennedy read Caudills book and quickly moved to set up the Presidents Appalachian Regional Commission in order to take a closer look at what was happening in Appalachia. My aunt on my father's side would actually put mountain dew in her kids' baby bottles. February 15, 2009 4. Irish and Scottish immigrants who moved to the Appalachian region to mine coal called their mixers for moonshine, off-market bourbon and whiskey, "Mountain Dew." Barney and Ally Hartman started bottling their Mountain Dew in the 1930s and marketing it as whiskey's best friend, meaning it's had a pretty manly ad strategy from its inception. By now, we've all heard of the health risks posed by drinking too much soda. Without insurance, people often go years without seeing a dentist. Close. This often resulted in elaborate ATV trails because it was the cheapest and most popular reclamation option. So we were saved and mostly unharmed. Free shipping on many items | Browse your favorite brands | affordable prices. O ften, photographers and journalists capture a version of Appalachia that is not a place - a vast geographic region covering 13 states with more than 25 million people - but a social and . "That guy! Associated Press articles: Copyright 2016 The Associated Press. 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 previous century. On top of that, without municipal water systems, people rely on well water, which is unfluoridated or they drink more Mountain Dew to quench their thirst. They, like Vances family and many other Appalachians, came home for regular visits and the annual reunion. For my mountain home, shame surrounding Mountain Dew has become a rhetorical touchstone thats somehow come to shape the countrys perception of life in modern day Appalachia. All last fall I resisted reading J.D. They offer the services they can, provide prescriptions for painkillers and antibiotics, and recommend a dental clinic for a follow-up. All rights reserved. Identity crisis: without coal, who will we be? "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. Toothaches are the most common problem, causing lack of sleep and difficulty eating. Answer: There is a common stereotype that people from Appalachia refer to Pepsi's Mountain Dew soda as "Mountain Dew," but this is not true for all people from Appalachia. 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. These stories grew out of reporting assignments for Kaiser Health News. no shoes!) Were on the 4-wheeler in the dark and we are coming down this hill. Public health . Back in 2009, Priscilla Harris, an associate professor at the Appalachian College of Law, issued the first battle cry in the war against Mountain Dew mouth with a legal brief titled "Undoing the Damage of the Dew," which explores how the drink became ingrained in the region's culture. Premature births are a growing problem nationwide now estimated at 10 percent of all deliveries pushing up the costs of care and the subsequent risk of autism and lifelong illness. Many Appalachians agree with Derek Mullins of Whitesburg, Kentucky, when he referred to President Lyndon B. Johnson's 1960s War on Poverty, which was launched in Inez, Kentucky. Appalachia has a distinct culture of sipping soda constantly throughout the day. Ive worried that I wont get work, that I will be perceived as less intelligent and qualified because I occasionally enjoy a soda thats lambasted as the scourge of the soft drink earth. Old recipes passed down keep traditions alive, but more coveted. But theyre no more the norm than people who arent like that. 24 September. Did he really just tell me what to drink? If others of us dont see that or dont see only that, and are tired of it being the focus Vance has already preemptively inoculated himself from such criticism. (Farmland is even lighter than usual in this image because the fields are fallow after the harvest.) This material may not be published, broadcast, rewritten or redistributed. Appalachian: [noun] a native or resident of the Appalachian mountain area. Gum infections, decayed teeth that weren't attended to so that by the end of pregnancy they would have full-blown abscesses; we would just hope that didnt put them into premature labor.. They call each other on behavior like drinking too much soda and then all of a sudden with another group or two, everybodys stopped because something has happened within the group that says, 'This just isnt good.', For UKs Jeffrey Ebersole, programs like this one are policy no-brainers both in terms of cost and disease prevention. Reply . They were in pain, and theyd be hurting at school.. . 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). Appalachian or Southern Baby Names? Poor Law Commissioners. Beer, grilled chicken and cigarettes were offered in unlimited supply. 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. Geography does play an important role, though. 2. The two types of rock that characterize the present Appalachian ranges tell much of the story of the mountains' long existence. is dedicated to the analysis of news photos and media images. It declared a radical policy initiative that he believed would put an end to poverty in America. And she expects that number to grow as jobs in the region continue to disappear. 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. It was late in the afternoon and I wrapped my hands tight around Dozers sweaty shirtless body because I was pretty terrified. I remember this story myself. (function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[3]='MMERGE3';ftypes[3]='dropdown';}(jQuery));var $mcj = jQuery.noConflict(true); Stacy Kranitz 1974. However, even in the states that do offer dental benefits, poor patients have difficulty getting appointments. Appalachia. When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. (This story has been corrected since it was originally published.) Reproduction of material from any Salon pages without written permission is strictly prohibited. While Harris says that there aren't a lot of comprehensive surveys of dental health in Appalachia, signs of a rampant problem are unmistakable: Some 26 percent of preschoolers in the region have tooth decay, and 15 percent of 18- to 24-year-olds have had a tooth extracted because of decay or erosion. They say it's used as. Well-written review; thank you. And Part 2 explored the link between transportation and healthcare. Poverty is much greater in Central Appalachia than the other regions of Appalachia and about twice that of the U.S. as a whole. Its high sugar and caffeine content seem to be habit-forming, with many accounts of Appalachians constantly sipping and carrying bottles everywhere throughout the entire day. Becoming a parent can be scary. The basic principle in CenteringPregnancy, Rising told me in her suburban Washington, D.C., office, is that almost any group of people drawn together in a common health concern will be more motivated to alter their behavior than will a single patient hearing instructions alone in a doctors office. 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. This was Dozers best friend who died while riding a 4-wheeler. Being violent is not a symptom of Appalachianness. In my latest video I discuss folklore and superstitions. Appalachians are portrayed as individuals who are unable to get out of their own way problems caused by excessive Mountain Dew consumption. The Coal operators did not give any of the wealth they made through this devastating process back to the region. This narrow and extensive mountain system parallels the eastern coast of North America for nearly 2,000 miles. 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. Don't give up, though. The problems faced by the region are painfully real, and deserve not to be trivialized or oversimplified in the national spotlight. "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.". Vance ignores valid reasons why Appalachians are leery of outsiders telling them who they are because historically, that has always been done through a very skewed lens. Other forces are at play. Im someone who people think shouldin so many wordsknow better. "And we can identify them in the tissues of newborn infants as well. Just 10 years after the War on Poverty was declared, Caudill saw that nothing was changing for the Appalachian people. Dr. George Kushner, the director of oral and maxillofacial surgery at the University of Louisville in Kentucky, explained that he sees ER patients with dental pain on a daily basis. And Part 2 explored the link between transportation and healthcare. SALON is registered in the U.S. Patent and Trademark Office as a trademark of Salon.com, LLC. According to area dentists, one of the main culprits contributing to toothlessness in Central Appalachia is Mountain Dew soda (a PepsiCo product). Dew Baby") is a song written by Lana Del Rey and Mike Daly and produced by Emile Haynie and Jeff Bhasker. Reply . The Appalachian Mountains stretch from the Canadian province of Newfoundland and Labrador to northern Alabama and Georgia. Hes been everywhere, touted as having some new and amazing insight into the white rural Appalachian voter. Appalachians are portrayed as individuals who are unable to get out of their own way problems caused by excessive Mountain Dew consumption. 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. Vance also was lucky in that his book came out last year, while the national media was looking for someone to explain Trumps popularity with rural and Rust Belt whites. The Appalachians are one of the three major mountain ranges in North America, alongside the Rocky Mountains and the Sierra Nevada. Now why would you want your baby to be smoking? Rising, whose Centering Healthcare Institute has worked with major medical schools across the country, flew down to Madisonville to help Todd-Langston and Almon start the prenatal program there. To get a sense of what that looks like, check out this picture. People are held personally accountable for the state of their teeth in ways that they are not held accountable for many other health conditions.". Its a sad story, although its also clear from his writing that there was love despite the dysfunction. This level of judgement has only heightened from year to year as Ive settled into a career as a food writer. 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. Dentists have also found that the effects of soda on teeth are strikingly similar to the effects of methamphetamine or crack on teeth, as I reported in May. Friend who died while riding a 4-wheeler 10.4 percent last year, the research began... Memoir of a publicist but theyre no more the norm than people who arent like that the tombstone, were! The afternoon and I wrapped my hands tight around Dozers sweaty shirtless body because I pretty... Up Loratab to snort for the pain of what that looks like, check out this picture the. And media images teeth, in an epidemic known as Mountain Dew-mouth material! Part 2 explored the link between transportation and healthcare the land, blew up the Mountains home... From any Salon pages without written permission is strictly prohibited the rape of Appalachia and about twice of! 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To Alabama, about 2,100 miles, in all both sodas and energy drinks he... Been everywhere, touted as having some new and amazing insight into the readers consciousness began to come on... Is dedicated to the region Perhaps most shocking was how poor the womens general health! Popular reclamation option credit all this to their hillbilly heritage they made through this devastating process back to the of. 4-Wheeler in the states that do offer dental benefits, poor patients have getting. Do offer dental benefits, poor patients have difficulty getting appointments the Trover Center for women 's health told... Seeding systemic circulation days a week, seeding systemic circulation the readers consciousness arent there more factors... For me, this photograph is valuable because it shows us how little we actually when... The tissues of newborn infants as well of adults over the next six weeks I returned regularly, befriending extended! 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