Amber Agarwal

Passionate Clinical Microbiologist with interest in preanalytics and costs involved in Microbiological testing in Labs

[Amber Agarwal @agarwalamberr]

@venkat_id @BradSpellberg @DrToddLee Sir,
The pus can be sent in aerobic n anaerobic blood culture bottles

[Amber Agarwal @agarwalamberr]

@nirmalregency @biomerieux There is more detection of Haemophilus in csf and pneumoniae panels.
Reasons unknown

[Amber Agarwal @agarwalamberr]

@transplantID Lung patch?

[Amber Agarwal @agarwalamberr]

@Inamanotherapy @ShreerajT Where are you working

[Amber Agarwal @agarwalamberr]

@Inamanotherapy Blood cultures do come positive if sent the right way in automated bottles.
Have worked in North India and people with 1 month of fever on antibiotics have got culture positive salmonella

[Amber Agarwal @agarwalamberr]

@docakx Ncc

[Amber Agarwal @agarwalamberr]

@DocPriyamMD Time and again this report is of dubious quality.
Talk to your clinical microbiologist pls

[Amber Agarwal @agarwalamberr]

@cmcparasiteqas Paragonimus

[Amber Agarwal @agarwalamberr]

@DoctorAniBhat 4 to 5k... ???

[Amber Agarwal @agarwalamberr]

@SeeFisch It's a cost issue in low resource setting

[Felix Prehn 🐶 @felixprehn]

Private equity firms bought 500 hospitals. Death rates in their emergency rooms went up 13%. They fired 12% of the staff. Then they paid themselves billions in dividends.

A Harvard study just confirmed what doctors already knew: people are dying so investors can hit quarterly targets.

Exactly what happens. A PE firm buys a hospital using debt. The debt gets placed on the hospital's balance sheet, not the firm's. Now the hospital owes hundreds of millions it never borrowed. To service that debt, the hospital cuts costs. Costs mean nurses.

The numbers from the Harvard/University of Chicago study are horrifying. After PE acquisition, emergency department salary spending dropped 18.2%. ICU salary spending dropped 15.9%. Hospital-wide employees were cut 11.6%. Emergency department deaths rose 13%, seven additional deaths per 10,000 visits.

A separate study found patients undergoing surgery at PE-acquired hospitals had 17% higher odds of dying within 90 days.

Steward Health Care, owned by Cerberus Capital, filed bankruptcy with $9 billion in debt after closing hospitals across Massachusetts. The CEO lived on a $40 million yacht while emergency rooms went dark. Eight hospitals serving 2 million people nearly disappeared because a PE fund extracted more cash than the system could survive.

The private equity industry has poured over $1 trillion into healthcare. They operate a quarter of ERs nationwide. This isn't going away.

The investing angle nobody talks about.

Non-PE hospital operators like HCA Healthcare (HCA) and Tenet (THC) are the direct beneficiaries. Every time a PE hospital closes or deteriorates, patients flow to the nearest competitor. HCA has returned 1,200% since 2011. Patient volume from PE closures is a structural tailwind nobody's pricing in.

Medical staffing firms (AMN Healthcare, Cross Country) charge premium rates specifically because PE hospitals cut staff. The staffing shortage IS the business model for these companies.

The disruption play: outpatient surgical centers (SCA Health, now part of UnitedHealth) are pulling profitable procedures out of hospitals entirely. PE-owned hospitals lose their highest-margin surgeries to outpatient, and the death spiral accelerates.

Pull up tradevision and monitor healthcare M&A alerts, hospital closure filings, and patient volume migration data. When a PE-owned hospital announces "restructuring," the patient volume shift to competitors like HCA starts within 30 days. That 30-day window is when the competitor's earnings revisions haven't updated yet. Free to try.

(a private equity firm bought your local hospital. borrowed $500 million in the hospital's name. fired 12% of the nurses. emergency room deaths rose 13%. then they paid themselves dividends. nobody went to prison. they're currently buying another hospital.)

[Amber Agarwal @agarwalamberr]

@ShreerajT @arshiet Much appreciated Sir.
Your enthusiam

[Amber Agarwal @agarwalamberr]

@DrDatta_AIIMS Was in the audience

[Amber Agarwal @agarwalamberr]

@Chulbulpanda420 @janatakadoctor Each one to its own. Legal and illegal is all grey area

[Amber Agarwal @agarwalamberr]

@DocPriyamMD Disagree with the part where the monitoring is mentioned in govt set ups.

[Amber Agarwal @agarwalamberr]

@CMEINDIA1 Most commonly now identified using Biofire pneumonia panel

[Amber Agarwal @agarwalamberr]

@varundubey Popcorn time...

[Shyam Bansal @drshyambansal]

Absolutely wonderful talk by dr Ramasubramanian on resistant gm negative infection in transplant recipient in transplant update 2026.

[Ranjit Bajaj @THE_RanjitBajaj]

@SpainInIndia please grant us a group visa appointment for @minervapunjabfc visa to Spain for participation in the @micfootballcup. We have been trying to get an appointment for the last 3 weeks, online, have written various emails and visited the embassy in Delhi twice. In fact our manager is currently outside your embassy in Delhi waiting. Pls help us as we are representing the hopes for milllions of Indians who are eagerly awaiting us in the mic cup 2026. 🙏🏽🙏🏽