 can you paint a picture of middletown and jackson kentucky sure so jackson kentucky is just a pretty small got about 6 000 people in it pretty pretty impoverished 30 to 40 poverty rates the opioid epidemic has really hit jackson hard and so that's a big part of what's going on in these areas not a whole lot of people working obviously the coal the loss of coal jobs has hit this area pretty hard so in some ways it's it's a pretty tough area tough area to grow up in um