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

Doctors who won't dismiss or forget you.

Pascal Health is a virtual, messaging-based primary care practice for patients with complex conditions. Actual doctors who care.

$0First 2 weeks free

No credit card required

2 min to sign up

Try Pascal Free

Zocdoc: 4.97(130+)

Board-certified physicians

Zero hidden fees

Cancel anytime

One Patient's Journey

What it actually looks like

Prefer voice notes instead of texting? Message your physician the way you prefer.

9:41

Pascal Health

Week 1

You

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

Text Message

How It Works

A different kind of care

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."

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.

We take it from there

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

Simple Pricing

Choose your plan

Every plan starts with 2 weeks free. No credit card required.

Pascal Core

Basic messaging

$75/mo

A physician who knows your full history
A minimum of 1 question answered each week
More questions answered as capacity allows
Deeply researched and personalized responses

Start your free trial

Pascal Pro

Virtual primary care

$200/mo

A physician who knows your full history
Priority responses and generous replies (subject to availability)
Prescriptions and refills
Lab and imaging orders
Referral coordination and follow-up
Prior auth and denial appeal support

Start your free trial

First 2 weeks free on either plan, no credit card. After that, a one-time $350 intake fee applies. Note: the intake fee will be $750 starting July 6; please place a (refundable) deposit after signing up for the waitlist to lock in the current intake fee.

Cancel anytimeZero hidden fees

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.

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.

The Difference

What changes with Pascal

Before Pascal

With Pascal

8 specialists who don't talk to each other

1 physician who coordinates them all

4 hours/week managing your own care

You text us. We handle it.

Conflicting advice from every doctor

1 coherent care protocol

Googling symptoms at 1am

A doctor who actually responds

Editing your symptoms so you don't get dropped

The more you share, the better we can help

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

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?

Join the Waitlist

No commitment · Cancel anytime

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

Doctors who won't dismiss or forget you.

Pascal Health is a virtual, messaging-based primary care practice for patients with complex conditions. Actual doctors who care.

$0First 2 weeks free

No credit card required

2 min to sign up

Try Pascal Free

Zocdoc: 4.97(130+)

Board-certified physicians

Zero hidden fees

Cancel anytime

One Patient's Journey

What it actually looks like

Prefer voice notes instead of texting? Message your physician the way you prefer.

9:41

Pascal Health

Week 1

You

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

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

thanks so much!

Week 7

Two things. First, the cromolyn prior auth went through, you’re covered

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

Text Message

How It Works

A different kind of care

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."

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.

We take it from there

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

Simple Pricing

Choose your plan

Every plan starts with 2 weeks free. No credit card required.

Pascal Core

Basic messaging

$75/mo

A physician who knows your full history
A minimum of 1 question answered each week
More questions answered as capacity allows
Deeply researched and personalized responses

Start your free trial

Pascal Pro

Virtual primary care

$200/mo

A physician who knows your full history
Priority responses and generous replies (subject to availability)
Prescriptions and refills
Lab and imaging orders
Referral coordination and follow-up
Prior auth and denial appeal support

Start your free trial

Cancel anytimeZero hidden fees

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.

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.

The Difference

What changes with Pascal

Before Pascal

With Pascal

8 specialists who don't talk to each other

1 physician who coordinates them all

4 hours/week managing your own care

You text us. We handle it.

Conflicting advice from every doctor

1 coherent care protocol

Googling symptoms at 1am

A doctor who actually responds

Editing your symptoms so you don't get dropped

The more you share, the better we can help

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

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?

Join the Waitlist

No commitment · Cancel anytime