PHYSICIAN-LED · FULLY INDEPENDENT · TELEHEALTH
Serious illness changes everything.
You have symptoms to manage, decisions to make, and a healthcare system that sometimes makes no sense.
PalliMate is a private, physician-led practice that supports people living with serious illness and the families walking with them.
Whether this is new or something you’ve been carrying for a while, you don’t have to keep figuring it out alone.
20+ years experience · No referral needed · Tennessee residents
Who this is for
PalliMate is for anyone looking for better understanding and support during a complicated medical journey.
You’re tired in a way sleep doesn’t fix. You’ve been told things you don’t fully understand and weren’t given time to clarify. You leave appointments with more questions than answers. You think about what’s next more than you let on. Some days you’re so overwhelmed you don’t know where to start or how to even begin.
You’re trying to track everything. The appointments, the medications, the things not being talked about. In limited spare time you search for insights but rarely find answers. You worry about doing too much and not enough at the same time. You feel guilty but don’t know why. And no one really asks how you’re doing.
If you’re feeling lost, exhausted, and looking for answers, that’s reason enough.
Why PalliMate Exists
When facing a serious diagnosis, the system moves fast. Appointments, specialists, treatments, choices. Everyone has a goal.
But who’s role is it to slow down with you. To listen. To answer. To help you process what this means for your world.
It’s not a failure of your doctors. It’s a gap the system was never built to fill. It’s why so many patients and families, surrounded by good medical care, still feel lost.
PalliMate exists to fill that gap.
For many people, a single conversation is the first time their situation truly makes sense.
What is PalliMate
Three things people facing serious illness rarely get enough of — time, consistency, and clarity. Today’s healthcare doesn’t allow for it.
PalliMate does.
Focused attention from an experienced physician. Continuous access as things change. Honest, plain-language explanations of what you’re facing.
Support is delivered by video, phone, and secure messaging. No office visits. No waiting rooms. No referral needed.
People come to PalliMate when
They’re living with a serious diagnosis and don’t know what questions to ask.
A scary diagnosis can feel like the floor dropped out. PalliMate helps you find your footing.
They’re facing a treatment decision that feels impossible to make.
When every option comes with trade-offs, having someone walk through them clearly makes all the difference.
They are overwhelmed by symptoms and confused by medications
People deserve to understand why they feel the way they do and what medications they’re being told to take.
They’re being asked to think differently about their goals and want help understanding what that means.
PalliMate helps people make sense of these very difficult decisions.
They’re supporting someone they love and aren’t sure what to do next.
A well supported patient means a well supported caregiver.
How it works
01
All new PalliMate patients begin with a Detailed Consultation, scheduled at a time that works for you.
Simple. Secure. Flexible.
02
Before the consultation, you can upload medical records, test results, or clinical notes through your secure portal. Dr. Meadows reviews everything in advance so your time together is thorough from the start.
Completely optional
03
Meet with Dr. Meadows for a full 60 minutes from the comfort of your home. No pressure to rush. Bring whatever’s on your mind. Think out loud. Invite whoever you want.
Family & friends welcome to join
04
You’ll receive a written summary of your meeting. It’s yours to keep, or to share with family or your other doctors.
Allows you to focus on the conversation
05
Send Dr. Meadows follow up questions after your meeting throughout the next business day, or enroll in PalliMate’s continuous support service for unlimited access.
Do what’s right for you
Want more information? Schedule a free, no obligation introduction call to learn more about PalliMate.
You don’t need to have it all figured out before you begin.
Meet Dr. Meadows
— James Meadows, MD · Founder
Dr. Meadows has spent more than two decades caring for those with advanced disease. PalliMate is the practice he built from those experiences.
Learn more about his background and the story behind PalliMate
Dual board certified
In Palliative Medicine and Family Medicine through the National Board of Physicians and Surgeons
Understands how the system actually works
From how decisions are made to where communication breaks down and why so many people are left overwhelmed.
A true doctor-patient relationship
Every conversation, recommendation, and follow-up comes directly from Dr. Meadows. No intermediaries. No handoffs.
Independent and unbiased guidance
Not directed by hospital or insurance protocols. The conversation stays focused on your situation and what matters most to you.
Services & Pricing
PalliMate offers three service programs, from a single consultation to comprehensive, proactive involvement when you need it most.
All services are private pay. No insurance required. No referral needed.
The Foundation
A meaningful 60-minute conversation with Dr. Meadows via video or phone. All new patients begin with a Detailed Consultation and existing patients can schedule follow-ups as needed.
60-minute video or phone session
Pre-consultation medical record review
Post-consultation secure messaging
Family & friends are welcome to join
Written summary delivered after your session
$450
per meeting
Member Rate $350
Steady Connection
A monthly membership providing continuous access to Dr. Meadows through secure messaging, for those who want continuity as their situation evolves.
Unlimited secure messaging with Dr. Meadows
Ongoing guidance as questions arise
Secure document storage in your portal
Optional caregiver portal and messaging access
Priority scheduling for consultations
$500
per month
Requires a Detailed Consultation
Proactive Engagement
A 30-day period of closer involvement from Dr. Meadows. He stays proactively engaged, keeping you ahead of what’s unfolding. Designed for times when you simply need more.
Everything in Ongoing Support
Proactive check-ins from Dr. Meadows
Brief phone calls included as needed
Highest priority consultation scheduling
$1,000
per 30 days
Requires active Ongoing Support
Not sure which service you need?
Schedule a free 10-minute meeting to learn more about Pallimate options.
Testimonials
“I left the Emergency Room being told I probably had cancer and I needed to see an oncologist in a couple of weeks. If I hadn’t been able to talk to you, I don’t know what I would have done.”
L.W. · Patient
“I learned more in this one call than I have in the 5 years since my husband was diagnosed with dementia.”
C.P. · Caregiver
“We were told we needed hospice and they sent someone to our house. We felt a lot of pressure. After a friend suggested it, we talked to Dr. Meadows. He cleared everything up and made it make sense.”
B.B. · Caregiver
Testimonials published with permission.
Common Questions
If you need additional answers, the FAQ page covers more topics in detail.
Your doctors are focused on diagnosing and treating your condition — and they’re very good at that. What they rarely have time for is sitting with you, explaining what everything means in plain language, and helping you think through the decisions in front of you. That’s exactly what PalliMate provides. It’s not a replacement for your doctors. It’s the support that makes your relationship with them more productive.
Insurance is designed to cover treatments, procedures, and clinical tasks. It was never built to reimburse time, conversation, or the kind of thoughtful guidance that helps you actually understand what you’re facing. Most navigation services that do exist are tied to specific disease programs or cost-containment goals. PalliMate has none of those constraints. Dr. Meadows’ measures success based on how supported you feel.
Yes. All meetings and communication happen through a HIPAA-compliant telehealth platform, and your medical information is held to the same privacy standards that apply in any other physician-patient relationship.
No. There is no obligation to purchase or continue service. Many people find that a single consultation gives them the clarity they were looking for. Others choose to stay connected as their situation evolves. Either way, the decision is entirely yours.
