I think you may be underestimating the power of dook's med school, law school, and, particularly, seminary. While there are probably not a lot of doctors in eastern NC that attended dook, there used to be more, and, also, some folks have an affinity for "the dooks hospital" because either they or a relative may have been treated there. Similarly, while there may not be a ton of lawyers in eastern NC that went to dook, I have known several and I don't get out much. Finally, the Methodist Church is pretty established in eastern NC and quite a few of the clergy either went or have connections to the seminary. I grew up with folks who were dook fans during the Bubas era and continued even though they have no direct connection to dook. I respect that if they have always been dook fans. The ones that really irritate me are the Walmart/bandwagon types that have become more prevalent and the "Oh, I pull for ECU in football, but I'm a dook basketball fan" types. Hope this explains it a little.