We’re returning to Northeast BC today and the subject might make some listeners squirm a little in their seats. We talk to Dr. Damian Fay, a rural GP and sexual health practitioner based in Hudson’s Hope about his QI work improving his vasectomy service. We talk about the challenges patients experience in accessing care in the North before the conversation takes a lighthearted turn towards the pros and cons of living and working in the north, craft beer and a novel way to get your triathlon track times down.