It isn't a staple of my diet - not sure, the last time might have been at Donna's Cafe in Pomeroy WA, back in 2008 - but that was a pretty good one, made up out of real ice cream as I recall. That's what it's about for me, since I was a kid - out on a vacation trip in the dry, sparsely populated region east of the Cascade mountain range, on a hot summer day, stopping along the road at a little mom & pop place that looks like it hasn't changed much in half a century and getting an old fashioned milk shake. Nothing fancy.