The fractures in our healthcare system aren't just statistics – they're people waiting months for knee surgeries, children losing developmental progress, and families watching loved ones suffer unnecessarily. In this powerful conversation, frontline social worker Tripti Deswal shares her eight years of experience witnessing the actual human cost of healthcare delays in the rapidly growing Nepean region.
Drawing from countless patient stories, Tripti reveals how waiting lists not only delay treatment but also fundamentally alter recovery trajectories. When people miss their optimal recovery windows, conditions worsen, independence diminishes, and psychological well-being deteriorates. Yet most disheartening is how the system strips away dignity, reducing complex individuals to mere patient numbers without honouring their values, goals or unique circumstances.
Tripti doesn't just identify problems – she shares the practical solutions being implemented at Nepean Advanced Rehab and Health Centre. Their approach centres on meeting people where they are through mobile therapy services and telehealth options, making healthcare accessible for those with mobility challenges or in remote locations. Equally important is their commitment to collaborative care, where GPs, allied health professionals, families and case managers work in concert with meaningful communication and shared responsibility.
What makes this conversation especially resonant is host Leon Goltsman's perspective, having navigated severe arthritis and experiencing firsthand the difference between being treated as a number versus receiving compassionate, dignified care. Both Tripti and Leon emphasise that a community's strength isn't measured by wealth but by how it supports those who need help most.
For anyone currently waiting for care or feeling forgotten by the system, this episode offers both validation and hope. Healthcare is evolving, with more providers recognising these gaps and building responsive services where everyone feels seen, heard and supported. As Tripti powerfully notes, "A small start can make a big effect" – and this conversation is indeed a meaningful beginning.
Thank you for listening!
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Leon Goltsman (00:00):
Hello and welcome back to Engaging Conversations.
I'm your host, Leon Goltsman,and each week we speak with
people who are reshaping what'spossible for our families, our
communities and our future.
Today's episode is one Ibelieve every working adult,
carer and family leader needs tohear, because it's not just
about health care.
It's about the human cost ofthe system that's left too many
(00:23):
people suffering and fallingthrough the cracks.
My special guest is TriptiDeswold, a frontline social
worker who's built herreputation in the toughest
corners of the care sector, fromearly intervention and
disability to broken links inallied health, where compassion
often runs ahead of policy.
Where compassion often runsahead of policy.
(00:45):
From grandparents missing basicsurgery to parents watching
their children lose progress dueto long wait lists, tripti has
sat with families, listened totheir stories and asked the one
question too few are asking whatif we did things differently?
Now, in the interest of fulltransparency, I've had the
opportunity to contribute to thework being done at Nepean
(01:06):
Advanced Rehab and Health Centre, where Tripti works, and I'm
proud to work alongside peoplelike her and Niaz Cannoth, one
of the directors, whosevalues-driven leadership extends
not only in the healthcaresector but also in ethical,
community-focused investmentthrough his work at Invest
Intelligence, community-focusedinvestment through his work at
Invest Intelligence.
And just a quick note the viewsshared in this episode are
(01:31):
based on lived experience andnot constitute medical or
professional advice.
Our aim is to raise awarenessand support community-based
solutions.
This podcast, like the work wedo, is not about self-promotion.
It's about sharedresponsibility.
It's about listening,responding and doing better for
the people we serve.
And it's about sharedresponsibility.
It's about listening,responding and doing better for
the people we serve.
And it's made possible thanksto supporters like Niaz, who
continue to back purpose-ledprojects that build trust and
(01:53):
strengthen communities.
So, whether you're aprofessional, a policymaker or
someone who's simply tired ofseeing people fall through the
cracks, this episode is for you.
So, without further ado, let'sget into it.
Tripti Deswal (02:07):
Hi, I'm Tripti Deyswal.
I'm a social worker.
I have been working in thisindustry for over eight years
now.
What I have seen throughout mycareer is that the right support
system can really help peoplewith their quality of life, and
that's what that, as a socialworker or a healthcare provider,
(02:30):
we must focus on to providethem that right kind of support
system.
Leon Goltsman (02:35):
So, tripti, you've worked across early
childhood, disability andcommunity health for years, and
the stories you've heard fromthe region are deeply personal.
What was it about the Nepeanregion that stirred something in
you and made you want to dothings differently?
Tripti Deswal (02:49):
Yeah, that's true , leon.
I have worked with earlychildhood as well, especially in
the Napian region.
When I was doing my research, Inoticed that there was a
consistent delay for the peoplein need to get to the services.
The clients were waiting forweeks or months just for the
people in need to get to theservices.
The clients were waiting likefor weeks or months just for the
basic maybe a knee replacementsurgery and then the post-rehab
(03:14):
that they needed for that.
That really made me thinkingthat something needs to be done.
In this region.
There were small children.
They were losing progressbecause of that.
The families were stuck.
Older people think of a man notbeing able to climb the stairs
(03:34):
just because he can't get hisknee surgery done for a year or
so and he is not getting anyhelp from, maybe for
pre-operations rehab or thepost-operation rehab.
He has no care, no support andhe's just struggling.
Leon Goltsman (03:50):
That's what really made me dwell into this
sector and see how can we helpthem, and sometimes that's what
it feels like when you've triedso long to get an appointment or
see a professional and you'rewaiting weeks, months sometimes.
Even then they can't get anappointment.
Of course they feel like noone's looking after them, and we
(04:11):
hear a lot of service talkabout being client-centered, but
in practice, clearly, thesystem still leaves people
waiting.
So, in your experience, what'sthe human cost of these delays
and how can allied healthproviders be more proactive in
meeting people where they are?
Tripti Deswal (04:26):
So, as you said, that the services talk about
clients being client-centeredand yet there is so much of
waiting period and people arestruggling for that one
appointment.
What people don't understand isthe human cost of these.
Delays can lead to worseningconditions.
They can be psychologicallyaffected by that.
(04:48):
There could be reducedindependence in them.
There is a whole lot impactover a human being as a whole
because of these delays.
I've seen people miss theirrecovery windows because
services weren't available soonenough.
Seen people miss their recoverywindows because services
weren't available soon enough.
So maybe just reducing thesebarriers and being a bit
(05:09):
proactive and offering themearly intervention, that could
fix it.
Where we have flexibleappointment system for the
clients, where we put them atour first priority and we look
at collaboratively working withthe other service providers,
that could bring a change, Ibelieve.
Leon Goltsman (05:29):
And sometimes people don't realize that it's
not like a piece of furniture ora building job where you can
build half a wall, leave itthere, come back a couple of
weeks later and continuebuilding it.
These conditions could worsenand then, as you said, some
people end up getting depressed,depression and other conditions
.
It worsens, makes it far harderto rehabilitate, and so what
(05:53):
we've seen?
Rehabilitation isn't just aboutwhat happens inside a clinic
room, though.
It's also about restoringdignity in people, independence
and possibility.
Now, what does true healinglook like to you, especially for
someone navigating physical andemotional challenges at the
same time?
Tripti Deswal (06:12):
So if we talk about true healing, of course it
doesn't only limit to physicalprogress.
The person needs to feel safe.
They must know where they arein their journey.
We should work alongside theperson and not just, you know,
be there and giving them thereports in their hands and only
(06:36):
the documents through an emailor something.
When we are providing theseservices to them, leon, it's
really important that we walkalongside them.
And the main thing which reallylags when I look at the cases
that I've been working on theirvalues and their goals they were
(06:57):
not reflected anywhere.
Every person has his ownjourney, own things to say, but
when they are going through atreatment, all those things are
left behind.
They're just treated like apatient which shouldn't be there
.
I think for true healing, theyshould be first considered to be
(07:17):
a human being, looking at allaspects where they might need
support and then providing themthat consistent and trustworthy
service.
Leon Goltsman (07:26):
See from personal experience, a lot of people
don't realize until it actuallyhappens to them, such as what
happened with me.
I've got severe arthritis severe, and it wasn't just something
that I've just gone in and I gotfixed.
It's taken years untileventually I found the right
doctor, who happened to be anincredible professor and if it
(07:48):
wasn't for him I wouldn't behere today, and no really, and I
can understand exactly whatpeople go through severe
arthritis, which left medebilitated.
And you know I've heard doctorssay, oh, you're too young to
have arthritis, or you know, trythis, try that Some of the
medications are actually worsethan the symptoms, and I get it
(08:11):
firsthand.
The reason why I'm mentioningthat is because I'm only just
one of many, many, many hundredsand thousands of people who go
through this and unless youactually go through it, it's
really hard to comprehend howcomplicated it can be when
people are treated withoutdignity or just like a number.
And, as you said, to be besidethose people to guide them
(08:33):
through can make all thedifference in the world Because,
like I said, if it wasn't formy professor guiding me, I
wouldn't be here, and that's whythis is really close to my
heart and to be workingalongside people like yourself
and others out there is verypersonal.
Tripti Deswal (08:53):
Yeah, so your experience is really worth
taking note of because, as yousaid that it was so it was
painful for you it was.
You had so much of strugglegoing, navigating through it,
but you you were fortunateenough that you got a good, good
caregiver, and that how thatmakes a lot of difference into
(09:15):
your healing journey.
That's, that's what we areaiming to here.
We are here to give that kind ofsupport to our clients, but
when they talk about theirillness or their challenge, they
also talk about us giving them,providing them the right
support in the right manner andespecially at the most needed
(09:39):
time when they really needed it.
Gaps Leon, I would say that wehave talked about the long
waiting time and the rehabcenters or the hospitals.
They are burdened with the longwait list.
Along with that, there's afragmented communication between
(09:59):
providers.
So the other providers, like us, if they come together and work
collaboratively, that wouldreally help these clients to get
their services in time and thiswaiting list would definitely
go down.
Then the other healthprofessionals, GPs or maybe just
(10:20):
the community organizations whoare there to help them, support
them.
If we can work on this with thesame understanding and we can
do it in a collaborative way, Iguess then we would be able to
provide more services to morepeople at one time, and care
delivery needs to be streamlinedand can really help reduce
(10:43):
these service gaps that we seehere, especially in the Nipon
region.
Leon Goltsman (10:48):
Yeah, and it helps the people who need the
services.
You're not just helping them,you're also helping the families
and strengthening thecommunities, because one thing.
I've seen time and time againnot just helping them, you're
also helping the families andstrengthening the communities.
Because one thing I've seentime and time again you don't
see how strong and powerful acommunity is by how rich the
people are, in terms of how bigthe houses are or what fancy
(11:10):
cars they drive.
It's how they look after thepeople who need the help, and we
see the population in Penrithand surrounding areas is growing
rapidly, especially amongstolder adults and people with
complex needs.
Now, what are some of the gapsyou've observed in the current
landscape and how do you thinkthe broader allied health sector
(11:31):
can respond more effectively?
Tripti Deswal (11:33):
Yeah.
So, as we've already talkedabout the gaps of long waiting
lists and how collaboratively,if we work together can give us
more fruitful results, what weare really focusing on here is
providing in-home care andtelehealth.
(11:53):
Home care and telehealth thatwill really help them improve
the access to the services,because there are so many people
who have mobility issues, somany others living in remote
areas.
The telehealth and the mobiletherapy, where we send our
practitioners for in-house careto their places.
(12:16):
That will really help them getthat efficiency and flexibility
for their care.
Also, the allied healthservices more of the clients.
They need support.
Leon Goltsman (12:31):
So what I'm seeing consistently is that
you've got the fastest growingareas, like the Nepean region,
but also you've got other areasaround Australia like Lake
Macquarie, newcastle, wollongong, mildura, just all over the
place and we're seeing thatthere's such a fast growing
population some of the ageingpopulation as well and instead
(12:53):
of having more specialisedservices and doctors and medical
support, we're actually seeingless, and that's a problem, I
think, not just a problem forthe areas, but it's a problem
for the whole country, becausewe need to be looking after one
another and we're seeing in manycases, what we hear from our
leaders and what we get isn'talways aligned, is it?
Tripti Deswal (13:16):
Yeah, true.
Leon Goltsman (13:18):
So, Tripti, you've worked with people, lots
of people, who can't physicallyget to therapy, and you
mentioned that Now, whetherthey're recovering from surgery,
managing a disability orleaving remotely, what are some
of the ways healthcare isevolving to reach people beyond
the four walls of a clinic?
Tripti Deswal (13:36):
So when we are working with these clients, we
see that most of the people whocome for their physio or maybe
sometimes even the psychologysession, they might be suffering
so much that they might not bewanting to come out of their
houses.
Leon Goltsman (13:55):
Maybe they do want to come out of their houses
.
They're just not able tophysically.
Tripti Deswal (14:00):
Yes, that's true.
So for that reason we areintegrating the mobile therapy
and telehealth in our service sothat we can send our
practitioners to their housesfor their in-home care and
telehealth for the remote areas,as you said.
The service providers are soless in number in those regional
(14:24):
areas where it is needed themost.
So we are trying to cover thatwith the telehealth and getting
our services to the people overthere, even looking at sending
our practitioners to thoseregional areas to provide those
services in their houses.
That is what we are aiming infuture.
Leon Goltsman (14:45):
So we're seeing a lot of things.
We see technology has made alot of industries and
professions more mobile and itmakes sense.
Tripti Deswal (14:56):
Yes, and the client need care where they are.
If we are able to provide themcare where, exactly where they
are, that's the best way tosupport them.
And also, these are not the.
These are now the mobiletherapy and telehealth.
These are now essential partsof care.
Leon Goltsman (15:13):
You've made it very clear that healing doesn't
just happen in isolation.
It requires trust, it requirescommunity and coordinated effort
.
Now what does goodcollaboration look like in
practice between allied health,gps, hospitals and the wider
care network?
Tripti Deswal (15:31):
Yes, as we talked about collaboration, that is
another big gap that we havenoticed over here, especially in
the Apian region.
When GPs and the other serviceproviders the case manager, the
families, the therapists whenthey come together and then they
work towards supporting theclients, that is the best way to
(15:52):
do it for effectivecollaboration and shared care
plans and a good, clear,meaningful communication between
all the people who are a partof the client's healing journey.
That is the best way we canhelp them, support them and also
the client.
(16:12):
They experience a smoother carethrough this collaborative
effort.
So of course it has to be ashared responsibility and we can
have regular and consistentcommunication with the GPs, with
the family members, going backand forth with the progress,
with the feedback and not onlythe feedback with the feed
(16:34):
forward as well, how to go aboutwhat the next step should be.
That kind of coordination wouldbuild trust and would lead to
better results.
Reflection is also a very bigpart of that.
Maybe that system is notsupporting the client as much as
it should be, so then we goback, we reflect on that and we
again come up with a new planfor them.
(16:56):
So all those are the componentsof a good service delivery
would help and, of course,collaboration with other allied
health services would manage thewaiting list, because if I am
not being able to provide apractitioner, maybe some other
allied health provider would beable to.
(17:16):
We need to come up with theshared responsibility of looking
after the client, taking careof the client, and not just the
individual benefits.
Leon Goltsman (17:28):
And we've met a lot of people over the years.
So what I'm hearing is thatclinics and professionals should
be working together.
Working together in order toput the client first and at the
heart of everything, everythingwe do.
Tripti Deswal (17:42):
At the heart of everything is the client.
Leon Goltsman (17:44):
It should be.
It should be so at the heart ofeverything you and I do.
It is our belief that no oneand no one should be left behind
.
If someone's listening to this,who's either waiting for
support or feeling forgotten,what would you want them to know
?
Tripti Deswal (17:58):
So all the people who are listening to this that
they are not alone.
And we are here.
We are creating that ecosystemwhere all the people are seen,
heard, supported, and the systemis evolving.
Leon Goltsman (18:13):
And respected.
Tripti Deswal (18:14):
Yes, so now more providers like us are more aware
about the challenges that theclients face.
Leon Goltsman (18:23):
If someone's listening to this, who's either
waiting for support or feelingforgotten, what would you want
them to know?
Tripti Deswal (18:30):
You are not alone .
We are here.
We have created an ecosystemfor you where you feel more seen
, more heard and you get theright support at the right time.
If you're waiting, know thatour efforts are being made to
reach you sooner and moremeaningfully.
We are here to fill in thosegaps that we have talked about.
(18:52):
Please share this informationabout the services that we are
providing here.
This might help someone whoreally, really needs it.
A small start can make a bigeffect.
Absolutely, I certainly agreewith that.
It's the small start can make abig effect?
Leon Goltsman (19:03):
Absolutely.
I certainly agree with that.
It's the little actions thatlead to big results.
Tripti, thank you so much.
It's so wonderful to talk toyou.
What I love about theseconversations is that we can
just talk about things how theyare, and always wonderful to get
an insight of somebody wholives it, breathes it and really
(19:23):
understands it.
And if anybody wants to learnmore about the services of the
PN Advanced Rehab and HealthCentre, what's the best way for
someone to get in contact witheither yourself or other
professionals within the centre?
Tripti Deswal (19:38):
Reach out to us on 1300 283 001.
Leon Goltsman (19:44):
So that's 1300 283 001.
And there's also a website, andthe website is
wwwadvancedrehabhealthcomauwwwadvancedrehabhealthcomau.
We're going to have all thosedetails in the show notes, but
(20:06):
can you just summarise what theNAPIEN Advanced Rehab and Health
Centre actually do?
Tripti Deswal (20:12):
Here at NAPIEN Advanced Rehabilitation and
Allied Health Centre, we have anincredible team of dedicated
people who have not just set upa clinic, team of dedicated
people who have not just set upa clinic, but we are here so
that not even one person shouldbe left alone waiting.
So here at Napien AdvancedRehabilitation and Allied Health
(20:32):
Centre, our vision is to movebeyond traditional allied health
therapy.
Leon Goltsman (20:37):
And I'm very familiar with the services, of
course, because it's not justabout providing a service.
The NAPI in Advanced Rehab andHealth Centre is an
evidence-based practice,provides fast, responsive
communication, outcome-focusedteam approach, compassionate,
people-centred care and seamlessstakeholder collaboration.
Now, what more can you ask thanthat?
Tripti Deswal (20:59):
What more can you ask for that?
Leon Goltsman (21:01):
Yep.
So for more information, pickup the phone and dial 1300 283
001.
Thank you very much, Tripti.
You've been fantastic and thankyou very much for joining us.
I look forward to doing greatthings with you and the team.
Tripti Deswal (21:15):
Thank you so much , Leon.
Thanks for having me here forso many people out there who
might be needing this at thisvery moment.
Leon Goltsman (21:25):
And what a powerful conversation that was
with Tripti Deswal A reminderthat healing isn't just clinical
, it's personal, and it beginswith being seen, heard and
supported at the moments we needit most.
We spoke about the cracks inour health system, the emotional
toll of long wait lists andwhat it means to deliver care
(21:46):
that's not just fast but human.
Tripti's work is a call to allof us to stop accepting delay
and disconnection as normal andto start building systems that
truly serve people withcompassion, urgency and respect.
With compassion, urgency andrespect.
If you'd like to connect withTripti or learn more about the
services available throughNepean Advanced Rehab and Health
(22:08):
Centre, you can visit www.
advancedrehabhealth.
com.
au or call 1300 283 001.
The team would love to hearfrom you, and I'd love to hear
from you too.
Has this conversation made youreflect on your own experience
(22:29):
or someone you care about?
What do you think needs tochange?
Email me anytime at leon.
goltsman at ecohq.
com.
au, because this show isn't justabout the stories we share.
It's about the community we'rebuilding around them.
If this episode resonated withyou, here are three quick things
(22:49):
you can do.
Follow Engaging Conversationson your favourite platform
Spotify, Apple or wherever youlisten.
Share this episode with someonewho cares about healthcare
community or making a differenceand leave a quick review.
It helps more people find theshow and join the conversation.
A heartfelt thank you to Niazand the team at Invest
(23:11):
Intelligence, purpose-drivenpartners and proud supporters of
our program and the communitieswe serve.
I'm Leon Goltsman and untilnext time let's keep showing up,
let's keep caring and let'skeep building the kind of future
we all want to be a part oftogether.
Hello and welcome back to Engaging Conversations.
I'm your host, Leon Goltsman,and each week we speak with
people who are reshaping what'spossible for our families, our
communities and our future.
Today's episode is one Ibelieve every working adult,
carer and family leader needs tohear, because it's not just
about health care.
It's about the human cost ofthe system that's left too many
(00:23):
people suffering and fallingthrough the cracks.
My special guest is TriptiDeswold, a frontline social
worker who's built herreputation in the toughest
corners of the care sector, fromearly intervention and
disability to broken links inallied health, where compassion
often runs ahead of policy.
Where compassion often runsahead of policy.
(00:45):
From grandparents missing basicsurgery to parents watching
their children lose progress dueto long wait lists, tripti has
sat with families, listened totheir stories and asked the one
question too few are asking whatif we did things differently?
Now, in the interest of fulltransparency, I've had the
opportunity to contribute to thework being done at Nepean
(01:06):
Advanced Rehab and Health Centre, where Tripti works, and I'm
proud to work alongside peoplelike her and Niaz Cannoth, one
of the directors, whosevalues-driven leadership extends
not only in the healthcaresector but also in ethical,
community-focused investmentthrough his work at Invest
Intelligence, community-focusedinvestment through his work at
Invest Intelligence.
And just a quick note the viewsshared in this episode are
(01:31):
based on lived experience andnot constitute medical or
professional advice.
Our aim is to raise awarenessand support community-based
solutions.
This podcast, like the work wedo, is not about self-promotion.
It's about sharedresponsibility.
It's about listening,responding and doing better for
the people we serve.
And it's about sharedresponsibility.
It's about listening,responding and doing better for
the people we serve.
And it's made possible thanksto supporters like Niaz, who
continue to back purpose-ledprojects that build trust and
(01:53):
strengthen communities.
So, whether you're aprofessional, a policymaker or
someone who's simply tired ofseeing people fall through the
cracks, this episode is for you.
So, without further ado, let'sget into it.
Tripti Deswal (02:07):
Hi, I'm Tripti Deyswal.
I'm a social worker.
I have been working in thisindustry for over eight years
now.
What I have seen throughout mycareer is that the right support
system can really help peoplewith their quality of life, and
that's what that, as a socialworker or a healthcare provider,
(02:30):
we must focus on to providethem that right kind of support
system.
Leon Goltsman (02:35):
So, tripti, you've worked across early
childhood, disability andcommunity health for years, and
the stories you've heard fromthe region are deeply personal.
What was it about the Nepeanregion that stirred something in
you and made you want to dothings differently?
Tripti Deswal (02:49):
Yeah, that's true , leon.
I have worked with earlychildhood as well, especially in
the Napian region.
When I was doing my research, Inoticed that there was a
consistent delay for the peoplein need to get to the services.
The clients were waiting forweeks or months just for the
people in need to get to theservices.
The clients were waiting likefor weeks or months just for the
basic maybe a knee replacementsurgery and then the post-rehab
(03:14):
that they needed for that.
That really made me thinkingthat something needs to be done.
In this region.
There were small children.
They were losing progressbecause of that.
The families were stuck.
Older people think of a man notbeing able to climb the stairs
(03:34):
just because he can't get hisknee surgery done for a year or
so and he is not getting anyhelp from, maybe for
pre-operations rehab or thepost-operation rehab.
He has no care, no support andhe's just struggling.
Leon Goltsman (03:50):
That's what really made me dwell into this
sector and see how can we helpthem, and sometimes that's what
it feels like when you've triedso long to get an appointment or
see a professional and you'rewaiting weeks, months sometimes.
Even then they can't get anappointment.
Of course they feel like noone's looking after them, and we
(04:11):
hear a lot of service talkabout being client-centered, but
in practice, clearly, thesystem still leaves people
waiting.
So, in your experience, what'sthe human cost of these delays
and how can allied healthproviders be more proactive in
meeting people where they are?
Tripti Deswal (04:26):
So, as you said, that the services talk about
clients being client-centeredand yet there is so much of
waiting period and people arestruggling for that one
appointment.
What people don't understand isthe human cost of these.
Delays can lead to worseningconditions.
They can be psychologicallyaffected by that.
(04:48):
There could be reducedindependence in them.
There is a whole lot impactover a human being as a whole
because of these delays.
I've seen people miss theirrecovery windows because
services weren't available soonenough.
Seen people miss their recoverywindows because services
weren't available soon enough.
So maybe just reducing thesebarriers and being a bit
(05:09):
proactive and offering themearly intervention, that could
fix it.
Where we have flexibleappointment system for the
clients, where we put them atour first priority and we look
at collaboratively working withthe other service providers,
that could bring a change, Ibelieve.
Leon Goltsman (05:29):
And sometimes people don't realize that it's
not like a piece of furniture ora building job where you can
build half a wall, leave itthere, come back a couple of
weeks later and continuebuilding it.
These conditions could worsenand then, as you said, some
people end up getting depressed,depression and other conditions
.
It worsens, makes it far harderto rehabilitate, and so what
(05:53):
we've seen?
Rehabilitation isn't just aboutwhat happens inside a clinic
room, though.
It's also about restoringdignity in people, independence
and possibility.
Now, what does true healinglook like to you, especially for
someone navigating physical andemotional challenges at the
same time?
Tripti Deswal (06:12):
So if we talk about true healing, of course it
doesn't only limit to physicalprogress.
The person needs to feel safe.
They must know where they arein their journey.
We should work alongside theperson and not just, you know,
be there and giving them thereports in their hands and only
(06:36):
the documents through an emailor something.
When we are providing theseservices to them, leon, it's
really important that we walkalongside them.
And the main thing which reallylags when I look at the cases
that I've been working on theirvalues and their goals they were
(06:57):
not reflected anywhere.
Every person has his ownjourney, own things to say, but
when they are going through atreatment, all those things are
left behind.
They're just treated like apatient which shouldn't be there
.
I think for true healing, theyshould be first considered to be
(07:17):
a human being, looking at allaspects where they might need
support and then providing themthat consistent and trustworthy
service.
Leon Goltsman (07:26):
See from personal experience, a lot of people
don't realize until it actuallyhappens to them, such as what
happened with me.
I've got severe arthritis severe, and it wasn't just something
that I've just gone in and I gotfixed.
It's taken years untileventually I found the right
doctor, who happened to be anincredible professor and if it
(07:48):
wasn't for him I wouldn't behere today, and no really, and I
can understand exactly whatpeople go through severe
arthritis, which left medebilitated.
And you know I've heard doctorssay, oh, you're too young to
have arthritis, or you know, trythis, try that Some of the
medications are actually worsethan the symptoms, and I get it
(08:11):
firsthand.
The reason why I'm mentioningthat is because I'm only just
one of many, many, many hundredsand thousands of people who go
through this and unless youactually go through it, it's
really hard to comprehend howcomplicated it can be when
people are treated withoutdignity or just like a number.
And, as you said, to be besidethose people to guide them
(08:33):
through can make all thedifference in the world Because,
like I said, if it wasn't formy professor guiding me, I
wouldn't be here, and that's whythis is really close to my
heart and to be workingalongside people like yourself
and others out there is verypersonal.
Tripti Deswal (08:53):
Yeah, so your experience is really worth
taking note of because, as yousaid that it was so it was
painful for you it was.
You had so much of strugglegoing, navigating through it,
but you you were fortunateenough that you got a good, good
caregiver, and that how thatmakes a lot of difference into
(09:15):
your healing journey.
That's, that's what we areaiming to here.
We are here to give that kind ofsupport to our clients, but
when they talk about theirillness or their challenge, they
also talk about us giving them,providing them the right
support in the right manner andespecially at the most needed
(09:39):
time when they really needed it.
Gaps Leon, I would say that wehave talked about the long
waiting time and the rehabcenters or the hospitals.
They are burdened with the longwait list.
Along with that, there's afragmented communication between
(09:59):
providers.
So the other providers, like us, if they come together and work
collaboratively, that wouldreally help these clients to get
their services in time and thiswaiting list would definitely
go down.
Then the other healthprofessionals, GPs or maybe just
(10:20):
the community organizations whoare there to help them, support
them.
If we can work on this with thesame understanding and we can
do it in a collaborative way, Iguess then we would be able to
provide more services to morepeople at one time, and care
delivery needs to be streamlinedand can really help reduce
(10:43):
these service gaps that we seehere, especially in the Nipon
region.
Leon Goltsman (10:48):
Yeah, and it helps the people who need the
services.
You're not just helping them,you're also helping the families
and strengthening thecommunities, because one thing.
I've seen time and time againnot just helping them, you're
also helping the families andstrengthening the communities.
Because one thing I've seentime and time again you don't
see how strong and powerful acommunity is by how rich the
people are, in terms of how bigthe houses are or what fancy
(11:10):
cars they drive.
It's how they look after thepeople who need the help, and we
see the population in Penrithand surrounding areas is growing
rapidly, especially amongstolder adults and people with
complex needs.
Now, what are some of the gapsyou've observed in the current
landscape and how do you thinkthe broader allied health sector
(11:31):
can respond more effectively?
Tripti Deswal (11:33):
Yeah.
So, as we've already talkedabout the gaps of long waiting
lists and how collaboratively,if we work together can give us
more fruitful results, what weare really focusing on here is
providing in-home care andtelehealth.
(11:53):
Home care and telehealth thatwill really help them improve
the access to the services,because there are so many people
who have mobility issues, somany others living in remote
areas.
The telehealth and the mobiletherapy, where we send our
practitioners for in-house careto their places.
(12:16):
That will really help them getthat efficiency and flexibility
for their care.
Also, the allied healthservices more of the clients.
They need support.
Leon Goltsman (12:31):
So what I'm seeing consistently is that
you've got the fastest growingareas, like the Nepean region,
but also you've got other areasaround Australia like Lake
Macquarie, newcastle, wollongong, mildura, just all over the
place and we're seeing thatthere's such a fast growing
population some of the ageingpopulation as well and instead
(12:53):
of having more specialisedservices and doctors and medical
support, we're actually seeingless, and that's a problem, I
think, not just a problem forthe areas, but it's a problem
for the whole country, becausewe need to be looking after one
another and we're seeing in manycases, what we hear from our
leaders and what we get isn'talways aligned, is it?
Tripti Deswal (13:16):
Yeah, true.
Leon Goltsman (13:18):
So, Tripti, you've worked with people, lots
of people, who can't physicallyget to therapy, and you
mentioned that Now, whetherthey're recovering from surgery,
managing a disability orleaving remotely, what are some
of the ways healthcare isevolving to reach people beyond
the four walls of a clinic?
Tripti Deswal (13:36):
So when we are working with these clients, we
see that most of the people whocome for their physio or maybe
sometimes even the psychologysession, they might be suffering
so much that they might not bewanting to come out of their
houses.
Leon Goltsman (13:55):
Maybe they do want to come out of their houses
.
They're just not able tophysically.
Tripti Deswal (14:00):
Yes, that's true.
So for that reason we areintegrating the mobile therapy
and telehealth in our service sothat we can send our
practitioners to their housesfor their in-home care and
telehealth for the remote areas,as you said.
The service providers are soless in number in those regional
(14:24):
areas where it is needed themost.
So we are trying to cover thatwith the telehealth and getting
our services to the people overthere, even looking at sending
our practitioners to thoseregional areas to provide those
services in their houses.
That is what we are aiming infuture.
Leon Goltsman (14:45):
So we're seeing a lot of things.
We see technology has made alot of industries and
professions more mobile and itmakes sense.
Tripti Deswal (14:56):
Yes, and the client need care where they are.
If we are able to provide themcare where, exactly where they
are, that's the best way tosupport them.
And also, these are not the.
These are now the mobiletherapy and telehealth.
These are now essential partsof care.
Leon Goltsman (15:13):
You've made it very clear that healing doesn't
just happen in isolation.
It requires trust, it requirescommunity and coordinated effort
.
Now what does goodcollaboration look like in
practice between allied health,gps, hospitals and the wider
care network?
Tripti Deswal (15:31):
Yes, as we talked about collaboration, that is
another big gap that we havenoticed over here, especially in
the Apian region.
When GPs and the other serviceproviders the case manager, the
families, the therapists whenthey come together and then they
work towards supporting theclients, that is the best way to
(15:52):
do it for effectivecollaboration and shared care
plans and a good, clear,meaningful communication between
all the people who are a partof the client's healing journey.
That is the best way we canhelp them, support them and also
the client.
(16:12):
They experience a smoother carethrough this collaborative
effort.
So of course it has to be ashared responsibility and we can
have regular and consistentcommunication with the GPs, with
the family members, going backand forth with the progress,
with the feedback and not onlythe feedback with the feed
(16:34):
forward as well, how to go aboutwhat the next step should be.
That kind of coordination wouldbuild trust and would lead to
better results.
Reflection is also a very bigpart of that.
Maybe that system is notsupporting the client as much as
it should be, so then we goback, we reflect on that and we
again come up with a new planfor them.
(16:56):
So all those are the componentsof a good service delivery
would help and, of course,collaboration with other allied
health services would manage thewaiting list, because if I am
not being able to provide apractitioner, maybe some other
allied health provider would beable to.
(17:16):
We need to come up with theshared responsibility of looking
after the client, taking careof the client, and not just the
individual benefits.
Leon Goltsman (17:28):
And we've met a lot of people over the years.
So what I'm hearing is thatclinics and professionals should
be working together.
Working together in order toput the client first and at the
heart of everything, everythingwe do.
Tripti Deswal (17:42):
At the heart of everything is the client.
Leon Goltsman (17:44):
It should be.
It should be so at the heart ofeverything you and I do.
It is our belief that no oneand no one should be left behind
.
If someone's listening to this,who's either waiting for
support or feeling forgotten,what would you want them to know
?
Tripti Deswal (17:58):
So all the people who are listening to this that
they are not alone.
And we are here.
We are creating that ecosystemwhere all the people are seen,
heard, supported, and the systemis evolving.
Leon Goltsman (18:13):
And respected.
Tripti Deswal (18:14):
Yes, so now more providers like us are more aware
about the challenges that theclients face.
Leon Goltsman (18:23):
If someone's listening to this, who's either
waiting for support or feelingforgotten, what would you want
them to know?
Tripti Deswal (18:30):
You are not alone .
We are here.
We have created an ecosystemfor you where you feel more seen
, more heard and you get theright support at the right time.
If you're waiting, know thatour efforts are being made to
reach you sooner and moremeaningfully.
We are here to fill in thosegaps that we have talked about.
(18:52):
Please share this informationabout the services that we are
providing here.
This might help someone whoreally, really needs it.
A small start can make a bigeffect.
Absolutely, I certainly agreewith that.
It's the small start can make abig effect?
Leon Goltsman (19:03):
Absolutely.
I certainly agree with that.
It's the little actions thatlead to big results.
Tripti, thank you so much.
It's so wonderful to talk toyou.
What I love about theseconversations is that we can
just talk about things how theyare, and always wonderful to get
an insight of somebody wholives it, breathes it and really
(19:23):
understands it.
And if anybody wants to learnmore about the services of the
PN Advanced Rehab and HealthCentre, what's the best way for
someone to get in contact witheither yourself or other
professionals within the centre?
Tripti Deswal (19:38):
Reach out to us on 1300 283 001.
Leon Goltsman (19:44):
So that's 1300 283 001.
And there's also a website, andthe website is
wwwadvancedrehabhealthcomauwwwadvancedrehabhealthcomau.
We're going to have all thosedetails in the show notes, but
(20:06):
can you just summarise what theNAPIEN Advanced Rehab and Health
Centre actually do?
Tripti Deswal (20:12):
Here at NAPIEN Advanced Rehabilitation and
Allied Health Centre, we have anincredible team of dedicated
people who have not just set upa clinic, team of dedicated
people who have not just set upa clinic, but we are here so
that not even one person shouldbe left alone waiting.
So here at Napien AdvancedRehabilitation and Allied Health
(20:32):
Centre, our vision is to movebeyond traditional allied health
therapy.
Leon Goltsman (20:37):
And I'm very familiar with the services, of
course, because it's not justabout providing a service.
The NAPI in Advanced Rehab andHealth Centre is an
evidence-based practice,provides fast, responsive
communication, outcome-focusedteam approach, compassionate,
people-centred care and seamlessstakeholder collaboration.
Now, what more can you ask thanthat?
Tripti Deswal (20:59):
What more can you ask for that?
Leon Goltsman (21:01):
Yep.
So for more information, pickup the phone and dial 1300 283
001.
Thank you very much, Tripti.
You've been fantastic and thankyou very much for joining us.
I look forward to doing greatthings with you and the team.
Tripti Deswal (21:15):
Thank you so much , Leon.
Thanks for having me here forso many people out there who
might be needing this at thisvery moment.
Leon Goltsman (21:25):
And what a powerful conversation that was
with Tripti Deswal A reminderthat healing isn't just clinical
, it's personal, and it beginswith being seen, heard and
supported at the moments we needit most.
We spoke about the cracks inour health system, the emotional
toll of long wait lists andwhat it means to deliver care
(21:46):
that's not just fast but human.
Tripti's work is a call to allof us to stop accepting delay
and disconnection as normal andto start building systems that
truly serve people withcompassion, urgency and respect.
With compassion, urgency andrespect.
If you'd like to connect withTripti or learn more about the
services available throughNepean Advanced Rehab and Health
(22:08):
Centre, you can visit www.
advancedrehabhealth.
com.
au or call 1300 283 001.
The team would love to hearfrom you, and I'd love to hear
from you too.
Has this conversation made youreflect on your own experience
(22:29):
or someone you care about?
What do you think needs tochange?
Email me anytime at leon.
goltsman at ecohq.
com.
au, because this show isn't justabout the stories we share.
It's about the community we'rebuilding around them.
If this episode resonated withyou, here are three quick things
(22:49):
you can do.
Follow Engaging Conversationson your favourite platform
Spotify, Apple or wherever youlisten.
Share this episode with someonewho cares about healthcare
community or making a differenceand leave a quick review.
It helps more people find theshow and join the conversation.
A heartfelt thank you to Niazand the team at Invest
(23:11):
Intelligence, purpose-drivenpartners and proud supporters of
our program and the communitieswe serve.
I'm Leon Goltsman and untilnext time let's keep showing up,
let's keep caring and let'skeep building the kind of future
we all want to be a part oftogether.
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