The Department of Respiratory and Sleep Medicine, led by Consultants Dr Alan Mulgrew and Dr Azhar Jahangir, provide expert services in the diagnosis and management of acute and chronic respiratory and sleep disorders.We provide a wide range of services for a host of different conditions, such as asthma, COPD, pulmonary fibrosis, sleep apnoea.


For more information on our new Clinical Packages, click here 



Services Offered 

1. Pulmonary Function Testing (>10hrs of age) incorporating:
  • Spirometry with bronchodilator response testing Static Lung Volumes
  • Diffusing Capacity
  • Body Plethysmography (including thoracic gas volume and airways resistance)
  • Maximum Respiratory Pressures (MIPs / MEPs)
  • Mannitol Test for Asthma ( > 18 yrs of age)
  • Cardiopulmonary Exercise Testing (VO2 max)
2. Respiratory Education
3. Smoking Cessation
4. Sleep Studies
  • Full Polysomnography
  • Limited Sleep Studies
  • Sleep Education
  • Overnight Oximetry


    Our Team

     Two Consultant Respiratory Physicians

  • Dr Alan Mulgrew (Consultant Respiratory Physician)
  • Dr Azhar Jahangir (Consultant Respiratory Physician)


      Respiratory Physiologists

  • Daniela Freire
  • Helena Dias 



  • Referrals to Dr Alan Mulgrew and Dr Azar Jahangir are accepted from GPs and Consultants.
  • Referrals for stand alone routine PFTs are accepted from GPs.



 Mary Nagle (Advanced Nurse Practioner) 

 Mary Nagle began training as a nurse at the Cope Foundation in County Cork in 1996 and graduated as a Registered Nurse

in Learning Disability in 1999. In 2000, Mary commenced an 18 month post graduate certificate in general nursing in St 

Michael's hospital Dun Laoighaire. Mary completed this course in 2002 and spent the next three years working a long side

Professor Tim McDonnell, Consultant Respiratory Physician and HSE Clinical lead on a COPD programme. During this time,

Mary gained vast experience in an array of respiratory specialities including; COPD, ashthma, pulmonary rehabilitation and

Non invasive ventilation. Mary also commenced a BSc (Hons) in Respiratory and completed a BSc (Hons) in Nursing. 

In 2005, Mary returned to Kerry where she spent two years working in UHK and commenced a masters in Science in Nursing in 

Institute of Technology Tralee. Mary joined the Bon Secours Team as a Respiratory Nurse Specialist in 2007 and completed 

a course in nurse prescribing in 2012, becoming the first registered nurse prescriber in the Bon Secours Hospital group. 

Mary has recently completed advanced practice in University College Cork and is now registered as a Advanced Nurse Practitioner 

in Respiratory Medicine. 

 Ph- 066 7149800/ Bleep 03/ Ext 569

 Fax- -066 7164551



  • Respiratory Diagnostics

          Phone: 066 7164524

          Fax: 066 7164544

Body Plethysmography

Measures residual volume, functional residual capacity, and total lungcapacity using a Plethysmograph. A Plethysmograph is an instrument for measuring changes in volume within an organ or whole body (usually resulting from fluctuations in the amount of blood or air it contains).


Visual examination of any part of the inside of the body that can be reached through the nose into the lungs.

Cardiopulmonary Exercise Testing

Cardiopulmonary Exercise Testing (CPET) is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.

Continuous Positive Airway Pressure (CPAP)

CPAP. Also known as continuous positive airway pressure. CPAP is a treatment that uses mild air pressure to keep your breathing airways open.  CPAP is used to treat sleep-related breathing disorders including sleep apnea.

Diffusing capacity

Diffusing capacity of the lung measures the transfer of gas from air in the lung, to the red blood cells in lung blood vessels. It is part of a comprehensive series of tests (pulmonary function testing) to determine the overall ability of the lung to transport gas into and out of the blood.

To measure diffusion capacity, you breathe a harmless gas, called a tracer gas, for a very short time, often for only one breath. The concentration of the gas in the air you breathe out is measured. The difference in the amount of gas inhaled and exhaled measures how effectively gas travels from the lungs into the blood. This test allows the health care provider to estimate how well the lungs move oxygen from the air into the bloodstream.

Mannitol test

The mannitol test was developed as an easy-to-use, safe, standardized bronchial challenge test for making a diagnosis of asthma in a wide range of clinical settings. A positive test result indicates a high likelihood of asthma with ongoing airway inflammation and may be useful to detect asthma that requires regular anti-inflammatory therapy.

Multiple Sleep Latency Test

multiple sleep latency test (MSLT) tests for excessive daytime sleepiness by measuring how quickly you fall asleep in a quiet environment during the day. Also known as a daytime nap study, the MSLT is the standard tool used to diagnose narcolepsy and idiopathic hypersomnia.

Non-Invasive Ventilation

Non-invasive ventilation (NIV) refers to the provision of ventilatory supportthrough the patient's upper airway using a mask or similar device. 

Overnight Oximetry

A simple test which helps to evaluate whether you have one of the more common sleep disorders, sleep apnea. The test involves applying a plastic clip over the end of your finger.


Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders. Polysomnography records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.

Pulmonary Function Tests

Pulmonary Function Tests (GP Referral)

Pulmonary Function Tests

Pulmonary Function Tests (>10 years of age) incorporating

  • Spirometry with bronchodilator response testing
  • Static lung volumes
  • Diffusing capacity
  • Skin Prick Allergy Testing for Atopy (>10 years of age)
  • Exercise test for asthma (>10 years of age)
  • Mannitol test for asthma (>18 years of age)
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Azhar Jahangir
Consultant Respiratory Physician & General Internal Medicine
Respiratory, General Medicine Respiratory Medicine
Bon Secours Hospital Tralee
Phone: (066) 7164580 Fax: (066) 7164521

Dr. Azhar Jahangir

Consultant Respiratory Physician & General Internal Medicine


Dr Azhar Jahangir is a Consultant Respiratory & General Physician who has completed all of his specialist respiratory training in Cork University Hospital, St Vincent’s University Hospital Dublin, St James’ University Hospital Dublin & East of England Denary Hospitals in the UK. Since 2014 he has been working as a Consultant Pulmonologist at the King Hamad University Hospital in Bahrain.  During this time he also held the posts of Clinical Senior Lecturer in the Royal College of Surgeons Ireland and the Medical University of Bahrain. 

Areas of Interest

Dr Jahangir has a special interest in Pulmonary Fibrosis, Sleep Disorders and complex Asthma.  He is also skilled in all emergency and routine respiratory and general medical procedures.  


MRCP (UK)- Royal College of Physicians UK 2008 MRCP (Ireland) – Royal College of Physicians of Ireland 2005 MBBS – University of Punjab, Lahore, Pakistan 1994.

Contact Details

  • Dr. Azhar Jahangir
Alan Mulgrew
Consultant Respiratory Physician
Respiratory, Endoscopy, General Medicine Respiratory Medicine
Bon Secours Hospital Tralee
Phone: 066 716 4504 Fax: 066 716 4517

Dr. Alan Mulgrew

Consultant Respiratory Physician


Dr Mulgrew completed his  Specialist Training in Respiratory and General Medicine in 2004.  Since then, he has taken part in numerous  presentations , research projects and publications.  He has  written chapters for two books regarding  the area of Sleep Apnoea  and other sleep disorders. He was awarded numerous Grant and Fellowship Funding  by the British Columbia Lung Association , the Canadian Institute for Health Research /Heart Stroke Foundation Canada, the Vancouver Coastal Health Authority and Philips Respironics.

Dr Mulgrew’s teaching experience includes lecturing at the Royal College of Surgeons in Ireland. This role included bedside, classroom and lecture based teaching to undergraduates, post graduates and nurses.  He also scheduled and co-ordinated the clinical teaching of 3rd and Final Med RCSI students, planning their curriculum and implementing new teaching strategies.  Dr Mulgrew was awarded the Best Clinical Teacher from Final Med Class 2002 at the RCSI.  He was also awarded Best Clinical Teacher in the Department of Respiratory Medicine, St Vincent’s University Hospital,2004, and was nominated to the student mentoring program. 

Areas of Interest

Dr Mulgrew’s specialist interests include the area of  Respiratory  and General medicine and various sleep disorders. 

Contact Details

  • Dr. Alan Mulgrew

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