Fibromyalgia·Dysautonomia·POTS·MCAS·EDS·Hashimoto’s·Long COVID·ME/CFS·CSF Leaks·Sjögren’s·Small Fiber Neuropathy·

A doctor who won't dismiss you.

Pascal is a virtual, messaging-based primary care practice for complex, chronic conditions.

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What You Get

Everything your care team should be doing

One quarterback for your care

A PCP focused on complex conditions who unifies your specialist care plans, tracks referrals, and handles your medications and insurance. One point of contact.

Zero gaps in care

A PCP-written summary and agenda for every specialist visit. We record your appointments so you can stay present and turn your brain off.

Relentless pursuit of symptom relief

We track what works, adjust what doesn't, research underlying causes, and never stop looking.

How It Works

A different kind of care

1

Share your full story

Message us (or voice note) your history, your research, your frustrations. All of it. No editing yourself. No leaving things out because you're afraid of being "too much."

2

We find what others miss

Your symptoms, your labs, your specialist notes. We hold the full picture and surface the patterns doctors miss when they only have 10 minutes.

3

We take it from there

Prescriptions, referrals, prior auths, appeals. You stop being your own doctor.

Simple Pricing

What you pay

Your first month

First month free

No credit card required

$0

After your free month

One-time intake fee

Comprehensive case review

$350

Membership fee

HSA-eligible

$150/mo

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One Patient's Journey

What it actually looks like

Prefer voice notes instead of texting? What about vlogs? Message your physician in the way you most prefer.

9:41
P
Pascal Health
Week 1
Penny
I have MCAS and suspected EDS. 8 specialists. None of them talk to each other. I spend 4 hours a week being my own doctor. I’m exhausted.
Pascal Physician
We’ve got you Penny. I went through your intake and med list last night. Heads up, the TCA the Neuro started and the Hydroxyzine the Allergist wrote for can sometimes cause stacking sedatory effects. Try moving the TCA to the morning time and see if that helps your energy levels
wait seriously? no one has ever caught that before
Let’s stay close for the first few days to make sure things are improving.
Week 3
Heads up, your insurance denied the prior auth for cromolyn. I’m filing the appeal today, you don’t need to do anything
Omg thank you. I’ve spent SO many hours on the phone with insurance before its the worst
No worries. I’ll let you know when it goes through
Week 5
I saw an ad for some MCAS supplement stack. Quercetin, DAO enzymes. Worth trying?
Your current protocol already covers that pathway. I wouldn’t add more right now
Also, I’ve been looking at your GI symptoms and heart rate data. There’s a med that could help both your gastroparesis and the tachycardia. I’m ordering it to your pharmacy, let me know if you have any questions about it
thanks so much!
Week 7
Two things. First, the cromolyn prior auth went through, you’re covered
Second, I’ve been listening to your symptom logs/voice notes. You’re getting flushing episodes after meals, mostly dinner. That’s a histamine pattern. I’m adjusting your H2 blocker timing to 30 min before dinner instead of morning. Try that for a week and let me know
yea the flushing has been driving me kinda crazy. I didn’t even think to mention it bc I figured it was just an MCAS thing I had to deal with
Always mention it, the more data we have the more we can help.
Week 9
Your joint pain has been trending up. With your suspected EDS I want to get you to a rheumatologist who specializes in hypermobility
I found Dr. Lena Park at Northwestern. She takes your insurance. You’ll walk in with a summary + agenda from me to show her, and we’ll record the appointment so I know everything that happened
Week 10
Had the rheumatology appt yesterday. She wants to add a new med
I know. The new med won’t conflict with anything you’re on. I’m updating your med schedule and sending the new timing chart tonight. Text me once you’ve filled it and started taking it
Week 12
Checking in. How are the joints doing?
Honestly? Way better. I actually cooked dinner twice this week which hasn’t happend in months
That’s amazing Penny. We’ll keep everything as-is for now, and I’ll make sure Dr. Park has your updated symptom data before your follow-up next month
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The Difference

What changes with Pascal

Before:

Before Pascal

8 specialists who don't talk to each other

4 hours/week managing your own care

Conflicting advice from every doctor

Googling symptoms at 1am

Editing your symptoms so you don't get dropped

With Pascal:

With Pascal

1 physician who coordinates them all

You text us. We handle it.

1 coherent care protocol

A doctor who actually responds

The more you share, the better we can help

This is personal

Our Chief Medical Officer nearly went brain-dead because six doctors ignored his symptoms for months. When he finally got the diagnosis, the lead neurosurgeon's feedback was brutal: “If you just had appropriate history taking, this wouldn't have been an issue.” We built Pascal so that never happens to anyone else.

We know what it's like to be dismissed, and we refuse to let it happen to you.

Ready to stop being your own doctor?

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