The verdict is in. After a four-year battle with the British Columbia College of Nurses and Midwives, nurse Amy Hamm has been found guilty of “professional misconduct.” And on Thursday, she was fired by her employer, Vancouver Coastal Health, after 13 years as a registered nurse.

It all started when Hamm’s advocacy for sex-based rights (as opposed to gender-based rights) — including her co-commissioning of a billboard that read, “I love JK Rowling,” and her suggestion that transgender women should not be in the same formerly private spaces and leagues as biological women — led to public complaints and an investigation, which determined that doing so was discriminatory, derogatory and undermined trust in the nursing profession.