In 1962 Caudill published an essay in the Atlantic titled,The Rape of Appalachia. Should I credit all this to their hillbilly heritage? You get a group of 10 or 12 women, theyre going to say things, like one woman I remember, I cant believe that youre still smoking. Hundreds of prescription medications, as well as chewing tobacco and cigarettes, cause dry mouth, preventing the natural flow of saliva and making teeth more susceptible to decay. (The city of Cincinnati saw fit to make it illegal to discriminate against someone of Appalachian origin). 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. unsalted butter, at room temp, sugar, eggs, at room temp and. Jun. Singer adds, "Here in West Virginia, you see people carrying around bottles of Mountain Dew all the time even at a public health conference.". In more national conversations, it often seems to take up this stunt double role, particularly when addressing rural poverty. Nonetheless, the factors that contribute to poor dental health are not simply Mountain Dew; they are not even specifically linked to Appalachia. The Real Winners of World Press Photo 2014: The Palestinians. Many lives were lost. 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. Or, as Eater puts it, "Mountain Dew is only a sideshow to the heart of the matter.". The Story Behind the Song Bascom Lamar Lunsford first wrote the song in 1928. Low-birth-weight infants also dropped by slightly more than half of state and national norms. Its just especially galling to see it done by someone claiming insider status. The beverage industry has repeatedly challenged claims that its products are destroying teeth. It is, however, a drink thatfor better or worseties me to my home. Appalachians are portrayed as individuals who are unable to get out of their own way problems caused by excessive Mountain Dew consumption. I had on a short dress that rode high up my thighs when I mounted the machine. 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. Copyright 2023 Salon.com, LLC. They, like Vances family and many other Appalachians, came home for regular visits and the annual reunion. 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. I utilize photography to address how images fail at representing culture. 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. Appalachia isnt a pity case, and Mountain Dew is only sideshow to the heart of the matter. One. 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. 2. Toothaches are the most common problem, causing lack of sleep and difficulty eating. In the mountains, you cant look away because theres nowhere to turn a blind eye. People exist, of course, who are violent, dysfunctional, addicted, and on welfare. Vances book is simplistic, and it generalizes. Sometimes there were drunken fights. I watched as they trekked back and forth in it, finding great pleasure in turning their ATVs into boats. It's estimated 26% of preschoolers in Appalachia already have tooth decay. Drinking more than a soda a day raises the risk that acids found in many soft and energy drinks will eat away at your tooth enamel and its pearly white color. "Diet Mountain Dew" (alternately spelled as "Diet Mtn Dew" and originally titled "Diet Mt. 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.. This was solidified during the economic transition that took place with the colonialist coal industries entry into the region at the end of the 19th century. The angry reaction supports the academic literature on Appalachian Americans, he writes, then proceeds to cite exactly one piece of academic literature, a paper three sociologists published in 2000 about how hillbillies learn from an early age to deal with uncomfortable truths by avoiding them., We tend to overstate and to understate, to glorify the good and ignore the bad in ourselves, Vance writes. He was unhappy. In West Virginia, 67% of adults over the age of 65 have lost six or more teeth to decay or disease. I went there with Dozer, one of Pats friends, who owned a 4-wheeler. Singer says she would like to see West Virginia and other states in Appalachia try this approach. Reproduction of material from any Salon pages without written permission is strictly prohibited. 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. The 4 of us caught the ATV off balance and it flipped. 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. The Appalachian Mountains range southwestward from Quebec and Newfoundland in Canada to Alabama in the southeastern United States.The central and southern highlands of this ancient mountain range, consisting of the Blue Ridge and Smoky Mountain ranges, the Allegheny and Cumberland plateaus . 17 More. Public health advocates say soft drinks are driving the region's alarmingly high incidence of eroded brown teeth a phenomenon dubbed "Mountain Dew mouth," after the region's favorite drink. 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. 45 min, 20 ingredients. A culture in crisis.. 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. 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. Germs collect, white blood cells accumulate, pus escalates, and suddenly a swelling, debilitating dental carbuncle has taken residence in ones mouth. ", Beneath all the systemic diseases linked to bad oral health, Ebersole argued, is a disastrous healthcare system in which oral health is considered a luxury. 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. Dentists have noticed that the toll soda takes on teeth can resemble the damaging impact of meth. ", 'Soda Mouth' Can Look A Lot Like 'Meth Mouth'. (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 They want to tackle the problem with policies, including restricting soda purchases with food stamps (now called the Supplemental Nutrition Assistance Program, and currently under debate in Congress). 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. But generally the women coming to Trover Clinic werent doing anything about it, mostly because in Hopkins County there was only one dentist who accepted Medicaid patients -- for one half-day a month and only on a walk-in basis. 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. 'Children of the Mountains': Full Show An introduction to Diane Sawyer's in depth look at the people of Appalachia. I would see a lot of kids who had a mouth full of rotting teeth, Dr. Edwin Smith, a traveling dentist who drove his mobile dental truck for 12 years throughout Kentucky, toldCNN last September. "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. He came to believe that Appalachias gene pool had been watered down by inbreeding among what he called dullards who lived on welfare in remote mountain hollers (1). Reply . I think it valuable for us to question how we arrive at the meaning of poverty. Before being bought by PepsiCo, Mountain Dew was invented in Tennessee in the heart of Appalachia. 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. The vast majority of doctors lack the knowledge and tools to treat dental ailments. To paraphrase a tweet from author David Joy, you can read Hillbilly Elegy. Upward of a fifth sometimes a quarter of the babies they were delivering at the highly regarded Trover Clinic were below weight and premature. 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. Medicaid, the joint federal-state health care program that provides health coverage for 72 million people, reckons dental benefits as optional for adults, leaving it up to states to decide. We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. Well, Ive hated it for about 3 years now for its misconceptions of Appalachia and its peoples (plural). Central Appalachia is No. 1974. hide caption. Native Americans first began to gather in the Appalachian Mountains some 16,000 years ago. 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. This is the third and final part of a series on rural health-care challenges. 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 elderly are affected, too. Letter to William Shockley. I remember . Mountain Dew Lasagne Recipe: Combine two jars of meatless spaghetti sauce, 12 ounces of lasagne noodles, and 12 ounces of Mountain Dew (or your choice); salt/ pepper as needed. Were on the 4-wheeler in the dark and we are coming down this hill. 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. A heroin dealer has apparently set up a fairly prolific den on his block, a place which once was only home to quaint families, a pocket watch repairman and a hyper-local internet service provider known (hilariously) as the I-Club. Mountain Dew, the carbonated fluorescent-green soda that Willy the Hillbilly declared will tickle your innards in a 1966commercial, has long been a staple of Appalachia. 1. I learned about Caudills dark turn while I was traveling in the region. But what is "Mountain Dew Mouth?" 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. Since then, she's been leading the charge to come up with policies to tackle the problem. Bascom Lamar Lunsford, born in Mars Hill, North Carolinain 1882, was what amounts to the first Appalachian ethnomusicologist- but not at first. Arent there more important factors to consider like physical abuse or abandonment? Great Britain. According to a 2012 study by Yale's Rudd Center for Food Policy and Obesity, the federal government is spending $1.7 billion to $2.1 billion on soda purchases through SNAP. You know where that smoke goes, through your body to the placenta to the baby. With limited benefits through Medicaid and no benefits through Medicare, in order to receive insurance, people must purchase private plans or employer-provided plans. It's sort of like folks don't really believe them, but since their parents or grandparents said them they say them just in case they might be true . Picking on Diet Mountain Dew was a surefire way to get my attention and cut me to the quick. 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. The idea we want to get across is that we have confidence in them. She recounts the story of one very timid young woman who showed up for the group. On April 28, 2009, Del Rey tweeted "Mike Daly is Really fucking good. no shoes!) The story of the Bell Witch is one of the most popular examples of Appalachian Mountain folklore, and it began in Robertson County, Tennessee. Chaotic people beget chaos. It is wickedly acidic and (if youre drinking the less aspartame-influenced variety) highly caloric. When I read numbers like that, Im immediately wracked with guilt that Im not there, that Im not rallying the troops to preserve the tightly knit heritage of the place that raised me. Bill Estep and John Cheves. 210 pound Dozer fell on me and then the 750 pound 4-wheeler fell on Dozer, but Dozer kicked it up with his leg and then the two boys that bailed pushed it back over. And none of them behave the way Vance describes his family behaving. All rights reserved. He mentions that she pushed him to write this, apparently recognizing that claiming his Appalachian heritage as an obstacle to overcome would sell. If you were watching the Diane Sawyer special, "A Hidden America: Children of the Mountains," in 2009, you might have been alerted to a code red in the southeastern mountain region of the United States (via ABC News). Part 1 covered diabetes in Appalachia. As a memoir of a rough childhood, its fine. The lights, claim the legend, are the ghosts of grieving women still searching the mountainside for the bodies of fallen warriors. To get a sense of what that looks like, check out this picture. They have the common ground of becoming a mother., The patients are accountable to each other, said midwife Sarah Almon. Part 1 covered diabetes in Appalachia. Under current guidelines, any kind of soda of any size can be purchased with a SNAP card even Mountain Dew, which has 170 calories in a single 12-ounce can. 4. After becoming the first person to successfully call attention to the dark reality of what was happening in Appalachia, Caudills thinking changed. This level of judgement has only heightened from year to year as Ive settled into a career as a food writer. He mentions his aunt, who had an early abusive marriage, and his mother. Oops. Today most of the time the superstitions are said in a joking manner. She's received a grant from the Robert Wood Johnson Foundation to study the problem. They were in pain, and theyd be hurting at school.. 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. The Appalachian Mountains are nearly 2000 miles long. Reply Packed with poems and prose, book reviews, science, and exciting exploits from around the globe, Appalachia delivers inspired stories of adventure, redemption, and the outdoors. Diaper-clad, the strange critter kicked open a trap door in an apartment where three dudes . But dentists beg to differ. Nationally, the rate of infant mortality was 211.1 per 100,000, but it was higher in five of six southern Appalachian states (all except Tennessee). "And we can identify them in the tissues of newborn infants as well. Heroes can be villains and villains can provide valuable insight into how to reimagine what we think we know about our own history. Sarah Baird, a writer who grew up in Eastern Kentucky, recentlywrote about the importance of the drink to her sense of identity, saying, Its not just a beverage its a portable sense of home.. While you may think of " Appalachia " as a region of the southern United States, the full Appalachian Mountains have a massive (not to . Various states, from Florida to Tennessee, have proposed bills that would restrict the use of SNAP to buy soda, sugary treats or other unhealthful foods. By childbirth, all the problems had been treated; continued follow-up monitoring also showed reduced smoking by the mothers and increased breast-feeding, and led to lower levels of prescribed pain medication and sharply reduced number of visits to local emergency rooms for other health problems. As an isolated industry, dentistry has remained private and unencumbered by the brunt of market forces. To compensate for the cracked molar on the left side of her mouth, she had simply learned to chew on the right side. 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. Nothing great will ever come from consuming yellow dye #5. Appalachia's money issues affect not only working-class adults in the mountains, but it affects the helpless children, the teenagers, babies, and everyone else living there. (London) 1841, #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; } See our ethics policy. Mountain Dew, however, remains culturally significant. Over the course of two days, among the reclining chairs and portable dental equipment that had been erected on the civic center floor, 116 dentists provided $1 million worth of care to 1,165 patients, many of whom had traveled across state lines to endure long lines and the bitter cold as they waited for treatment. 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. In a country wheresignificant value is placed on a perfect smile, bad teeth prevent economic mobility. 277. No one I met on the trails that day mentioned the rape of Appalachia nor did anyone mentioned that they missed the mountain. By now, we've all heard of the health risks posed by drinking too much soda. It is a regular reminder that youre not just reading about a kid in Ohio with a druggie mom oh no. It is approachable, easy to understand, easy and quick to read. Leslie Jamison, author of The Empathy Exams, elegantly summed up my decades-long tug of war with how Mountain Dew relates to my identity in a recent interview. When we got back to Pats house, I was given a crushed up Loratab to snort for the pain. But one has to wonder if the underlying issues of the region aren't addressed, will taking sodas off the menu really solve anything. Free shipping on many items | Browse your favorite brands | affordable prices. A Fresh Look at Appalachia50 Years After the War on Poverty Kealey Lowe is a student at Stone Memorial High School. New book takes on, and takes down, Appalachian Trump Country narratives and elegies, Hillbilly Elegy: Another generalization of Appalachia. On our way down the daylight faded and we navigated the terrain of the trail from our ATVs headlights. In her book, she writes: "In the way that they disfigure the face, bad teeth depersonalize the sufferer. 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. Appalachian: [noun] a native or resident of the Appalachian mountain area. His experience is valid, but its not everyones experience. 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. To this day, the flavor variations of Mountain Dew often reference the connection to the drink's mountain origins, with names like Mountain Lion and Mountain Holler. He uses this word over and over, beating it into the readers consciousness. . Diet Mt. 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