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Burned Out, Then Sick From Mold: How a Dentist Found His Purpose Again | Dr. Dominic Nuosce

August 20, 2026

What do you do when the practice that looks perfect on paper makes you miserable? Dr. Dominic Nuosce had a busy, profitable practice in Frisco, Texas, and dreaded going to work. Then COVID, two trips to the ER and months of illness forced him to stop. He shares how he sold his practice, found the cause (toxic mold and sewer gas inside his walls), got his health back, and bought a struggling practice where, on day two, a patient told him, "We've been waiting for you." In this episode: - When a successful practice feels like "an expensive car wash" - Why a DSO executive told him, "We wouldn't even touch your practice" - Two ER visits, normal blood work, and the doctor who finally listened - Keeping a practice running with locum dentists, and deciding to sell - The mold testing that found 300,000 spores per cubic meter in his walls - His list of 11 must-haves for going back to work - Buying and turning around a struggling practice in Colleyville - How to start a career change: say it out loud to the people you love šŸ“° Plus dental news: a Florida dentist indicted for tax evasion, the DOJ stops a Nevada biotech company's products (including bone graft), small practices are now exempt from Corporate Transparency Act reporting, the Mayo Clinic wants dentists' feedback on antibiotic prophylaxis for joint replacements, and the new American Academy of Robotic and Digital Dentistry. Dr. Dominic Nuosce grew up in Akron, Ohio, and graduated from Texas A&M and the dental school at UT Health San Antonio. After years in private practice in Frisco, Texas, he now owns a general practice in Colleyville, Texas, and is writing a book on purpose-driven practice and leadership. Chapters: 0:00 Intro 1:31 Golf in 107 degrees 4:13 Coming back after vacation 5:10 History lesson: whatever happened to Clubhouse? 10:27 News 10:36 News: a Florida dentist indicted for tax evasion 13:10 News: the DOJ stops a Nevada biotech's products 14:52 News: small practices exempt from the Corporate Transparency Act 15:56 News: give the Mayo Clinic feedback on antibiotic prophylaxis 18:36 When an oncologist asks you to clear a patient 20:41 News: the American Academy of Robotic and Digital Dentistry 22:38 Introducing Dr. Dominic Nuosce 28:38 A great practice he didn't love anymore 30:22 "All I do is run an expensive car wash" 33:13 Asking a DSO what he was doing wrong 34:48 COVID, then two trips to the ER 37:56 The doctor who finally listened 39:28 3 a.m. and the darkest weeks 41:37 Keeping the practice open with locums 42:44 Deciding to sell 43:53 The doctor who found the cause 46:19 300,000 mold spores in the walls, and sewer gas 48:51 Months of treatment, and getting all of himself back 50:18 Ready to go back to work 51:05 Why the DSO offers didn't fit 52:27 His list of 11 must-haves 53:06 Buying a struggling practice in Colleyville 54:40 "I'm supposed to be here" 55:32 The dentists who called him 56:27 Say it out loud to the people you love 58:03 Less money, more fulfillment 58:52 Is dentistry the right path for you? 1:00:16 Three versions of yourself in one career 1:02:22 A thank-you to his wife, Michelle 1:04:30 Coming back for part two 1:09:20 Closing šŸŽ§ Listen to the podcast: Apple Podcasts: https://podcasts.apple.com/us/podcast/dentists-in-the-know/id1543254763 Spotify: https://open.spotify.com/show/2Elfj6LX0hCUyp0AgdTsij šŸ“ŗ Make sure you subscribe to catch new episodes live every Wednesday at 8pm ET! https://www.youtube.com/@dentistsintheknow 🌐 Check out our brand new website: https://dentistsintheknow.com 🌟 Stay up to date on all the latest dental trends when you follow the DINKs: https://fanflet.com/dinks/social-2 0:00 Intro 10:30 Dental News 22:00 Dominic Introduction 28:00 Dominics Story 34:00 Mystery Illness 42:00 Selling Dental Practice 46:00 Mold 53:00 Finding Purpose 1:00:00 Chad's message 1:08:00 Closing thoughts