The Ohio Medical Board on Wednesday voted to ban Katharine Grawe — also known as Dr. Roxy in her plastic surgery practice and to her many TikTok followers — from ever practicing again in the state.

The board said Grawe, who originally had her license suspended in November, neglected her patients as she livestreamed parts of their procedures, spoke into a camera and answered viewer questions — all while the surgeries were taking place.

The unnamed patient suffered severe damage to and bacterial infections in her abdomen, as well as loss of brain function from the amount of toxins in her blood, according to the notice.