The medical practice for complex conditions

POTS, MCAS, Hashimoto's, Long COVID, autoimmune, endocrine, and cardiometabolic

Your dedicated physician

A board-certified PCP who knows your complete history and coordinates with specialists on your behalf.

Comprehensive case review

We thoroughly analyze your symptoms, test results, and medical history to find patterns others miss.

Text access

Message us anytime about brain fog, flares, or exercise intolerance as they happen.

We handle the paperwork

Prescriptions, prior authorizations, lab orders, imaging, and referrals. You never pick up the phone.

Appointment relay

Call our office during specialist visits. We record and digest every appointment so nothing gets lost.

Who are your physicians?

Award-winning care

Physician of the Year (1/200). Self-diagnosed rare vascular disease. 100+ 5.0 Zocdoc reviews (>4.95). The doctor is in.

Specialized expertise

Advanced post-residency training in neurology, obesity medicine, and vascular medicine.

Medical education leaders

Residency directors at major academic institutions, always at the forefront of medical practice.

Maximalist approach

We pursue exhaustive history-taking, comprehensive intake, and continuous symptom monitoring.

Why trust us?

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

How Pascal works

1

Share your full story

Not a 10-minute appointment. Your history, your research, your hunches, your frustrations. We'll actually read it.

2

We build your case

Every symptom, test, and specialist visit. We see the patterns doctors miss when they only have a few minutes with you.

3

We fight for you

Prescriptions, referrals, prior auths, appeals. A board-certified physician who handles the system so you can focus on getting better.

This is why we built Pascal

"I told my doctor I feel like I'm dying. She said it was anxiety."

You know something is wrong. You've done the research. But they won't listen. You're not crazy; you just haven't found a doctor who takes you seriously. Yet.

"I have 8 specialists. None of them talk to each other."

You're the one keeping track of everything: every test, every medication interaction, every conflicting opinion. That's not your job. It's ours.

"The waitlist is 18 months. I need help now."

Dysautonomia specialists are impossible to find. We can't replace them, but we can fight for you while you wait and make sure nothing falls through the cracks.

"I've become my own doctor."

You spend hours on Reddit, PubMed, and ChatGPT because no one else will figure this out. What if you had a physician who actually did the homework for you?