Dr. Brytney Cobia said Monday that all but one of her COVID patients in Alabama did not receive the vaccine. The vaccinated patient, she said, just needed a little oxygen and is expected to fully recover. Some of the others are dying.

“I’m admitting young healthy people to the hospital with very serious COVID infections,” wrote Cobia, a hospitalist at Grandview Medical Center in Birmingham, in an emotional Facebook post Sunday. “One of the last things they do before they’re intubated is beg me for the vaccine. I hold their hand and tell them that I’m sorry, but it’s too late.”

Three COVID-19 vaccines have been widely available in Alabama for months now, yet the state is last in the nation in vaccination rate, with only 33.7 percent of the population fully vaccinated. COVID-19 case numbers and hospitalizations are surging yet again due to the more contagious Delta variant of the virus and Alabama’s low vaccination rate.

For the first year and a half of the pandemic, Cobia and hundreds of other Alabama physicians caring for critically ill COVID-19 patients worked themselves to the bone trying to save as many as possible.