Island Life Magazine Ltd June/July 2009 | Page 94

life FASHION, HEALTH & BEAUTY Jo Macaulay interviews Dr Christopher Magier about changes in paediatric care at St Mary’s Hospital. Changing Reality For the Better Consultant Paediatrician at St Mary’s Hospital, Dr Christopher Magier, joined the team in 2006 and his ‘small’ changes have made the treatment of children in the maternity and neonatal units much more user-friendly. But this autumn sees the biggest change with the opening of the brand new neonatal unit, which will be 2.2 times the size of the existing one and have two more incubators. Hailing from Poland, Dr Magier completed his degree, PHD and specialist paediatric training at the medical university in Wroclaw by 2000. Moving to England in 2005 to take a post at St Thomas’s hospital in Westminster, Dr Magier witnessed the opening of their new Evelina Children’s Hospital. Paediatric care at St Mary’s has been split between two different levels until now, but the new £1.5million neonatal unit will bring both units together on the first floor. “The expansion here is an excellent move,” said Dr Magier. “It’s not just about the extra cots (incubators) but the neonatal intensive care unit will be in the same corridor as the maternity unit and there will be a connection with the theatres which is important with acute cases. The lift is not ideal – it can break down.” This will also be beneficial to borderline cases. “Shared care will be possible if the units are together – a child may not need to be admitted to neonatal care but can benefit from treatment from that unit,” explained Dr Magier. “Problems such as feeding or low blood sugar may not need to be admitted but stay with their mothers in maternity 94 with midwife care.” “What is important to remember is the philosophy of birth,” he stressed. “Delivery is a healthy physiological process so we try to make it as non medical as possible. Doctors should not be involved unless there is a problem.” “I tend to change reality around,” admitted Dr Magier who was the first student to be elected to the senate of his university in the first free elections in 1990. One of his first changes at St Mary’s was the layout of inpatients. “It was as it was in the 1950s - across the desk. If you want a good relationship you don’t want furniture in the way. You tend to examine children on the parent’s laps,” he explained. He also changed the bleeper system so that in neonatal resuscitation the bleeper does not summon a whole crash team. “In some neonatal emergencies it is better to have a smaller group alerted – neonatal resuscitation does not require as many people as a paediatric emergency,” he explained. Everybody at St Mary’s is looking forward to the opening of the new unit that the Barely Born Appeal is hoping to put £300k towards refitting. “I lobbied for the building of the new neo natal unit. The plans had been in place for a long time but maybe my being here and my energy speeded things up,” said Mr Magier who has settled happily in Cowes with his family and hopes to do more sailing in the future. The Island's most loved magazine