Boris lams is a consultant in respiratory medicine specialising in inflammatory lung disease, especially that associated with underlying rheumatological conditions. He works with Dr Sangita Agarwal as part of the Lung Inflammation Service at Guy's and St. Thomas hospitals and sees patients both in outpatients, as inpatients and on the ICU. He is also embedded within the St. Thomas's severe respiratory failure service which provides a regional ECMO retrieval service.