Category Archives: Health Care

Bourbon County, Community Health Center of Southeast Kansas, Health Care

CHC Update: Planning the Reno and Adding New Family Physician

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Financial assistance and sliding fee discounts are available to eligible patients, as stated on the front door of the CHC/SEK Clinic in Fort Scott.

Community Health Center of Southeast Kansas, Fort Scott, is still in the planning stage of the new site they purchased, the old Price Chopper store at 2322 S. Main.

“Planning on the renovation of Price Chopper is going smoothly,” Krista Postai, CEO and president, said. “It will have walk-in care along with regular medical clinic space and diagnostic, including x-ray, CT-scanner and bone density diagnostic equipment, offices for behavioral health/addiction treatment staff and other support staff and a drive-through pharmacy.”

 

Krista Postai. Submitted photo.

 

“No start date for renovation, as of yet,” Postai said.

“To help offset the expense of renovation, CHC/SEK was the recipient of a $1.1 million federal grant through the American Rescue Plan,” she said. “A large portion of the diagnostic equipment will also be covered by an $11.3 million grant that CHC/SEK received through the American Rescue Plan for Health Centers program.”

New Family Physician Is Added

“Dr. Sarah Bradshaw, a board-certified family physician with additional training in treating allergies will be joining the Ft. Scott Medical Staff in June,” Postai said. “Dr. Bradshaw is a graduate of the University of Kansas School of Medicine and completed her residency in Family Medicine at the University of Missouri of Kansas City. She also has a Master’s degree in Public Health from the University of Kansas School of Public Health. She was formerly employed by Allen County Regional Hospital.”

“Her time will be initially split between Iola and Ft. Scott,” she said. ” Her schedule is now being finalized and more details will be available this week.”

 

Health Care, Kansas

Youth Suicide Prevention Art Contest

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TOPEKA – The Kansas Partners in Empowering Youth for Suicide Prevention believes that every young person deserves to be safe from suicide and that the best way to reach youth in Kansas is to provide opportunities for them to reach out to their peers, thus the Youth Suicide Prevention Art Contest was created. The contest, which ended April 5, 2021, was open to Kansas youth in grades 6 through 12 and 28 youth from across the state dedicated their time and talents to developing messages to reach other youth with their submissions.

“We are pleased with the incredible quality of submissions for the contest. Every person who entered clearly put great thought and effort into their submission,” Steve Devore, President/CEO of Kansas Suicide Prevention HQ said. “We look forward to sharing them across the state to raise awareness of the possibility of hope and healing while working to provide enough support to Kansas youth so that no one ever walks alone in crisis. We anticipate all entries will resonate with youth but there were top prizes awarded for the three grade categories by youth judges.”

To view submissions to the Youth Suicide Prevention Art Contest, visit the online gallery at www.ksphq.org/artcontestgallery/.

The agencies involved in the Kansas Partners in Empowering Youth for Suicide Prevention include the Kansas Department of Health and Environment, the Kansas Department for Aging and Disability Services, the Kansas Department for Children and Families, Kansas State Department of Education and the Kansas Attorney General’s Office, in collaboration with the Kansas Suicide Prevention Resource Center.

There is something each of us can do, follow these tips to help prevent youth suicide.

If I am a teen, I can…

  • Encourage friends that getting help for life’s ups and downs is okay.
  • Share stories about times getting help has worked.
  • Talk to my doctor during my annual well visit.
  • Break the stigma by encouraging discussion of mental wellness.
  • Be an example of kindness and connection to those around me.

If I am a parent, I can…

  • Be willing to listen without judgement.
  • Be the one to help my child seek mental and physical care when needed.
  • Store my firearms and prescription/over-the-counter medications safely at home to reduce the likelihood they will be used in a suicide crisis.

If I am a school employee, I can…

  • Be willing to listen without judgement.
  • Download the Columbia Suicide Severity Rating Scale screener tool and champion protocol changes for successful implementation within my school or district.
  • Recognize social emotional learning initiatives that focus on building social skills especially problem-solving skills are effective upstream efforts to reduce suicide and other risky behaviors in students.
  • Implement evidence-based screening for depression and suicide for the entire student body.

If I am a community member, I can…

  • Be willing to listen without judgement.
  • Make resources for safe storage or disposal of means for suicide available (e.g. trigger locks, prescription take back initiatives).
  • Enroll in training like Mental Health First Aid or Applied Suicide Intervention Skills.
  • Participate in training like (ASIST) or Question. Persuade. Refer (QPR) to be able to better identify when youth are struggling with thoughts of suicide.
  • Practice good self-care; share my coping mechanisms with those around me, tell stories of seeking help and gaining recovery.

If you or someone you know is in need of assistance, please text KANSAS to 741741 or call the National Suicide Prevention Lifeline at 1-800-273-8255.

Bourbon County, Community Health Center of Southeast Kansas, COVID-19, Health Care

Pfizer vaccine available at CHC/SEK for people 12 and older  

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Community Health Center of Southeast Kansas, 403 Woodland Hills Blvd.

The only FDA-authorized vaccine for 12- to17-year-olds is now available at all Community Health Center locations by appointment. The Pfizer-BioNTech Covid-19 vaccine is a two-dose vaccine that is given 21 days apart.

Now, entire households can be immunized against COVID-19 where previously only adults are were immunized. The vaccinations make it easier for students to return to regular schooling in person, and removes issues to school reopening’s by reducing the threat of transmission in classrooms, and allows adolescents to safely attend summer camps, sleepovers and get-togethers with friends.

Parents or guardians can request a vaccine appointment for their child on the CHC/SEK website chcsek.org. Click the COVID Vaccine Request button. After selecting the “first dose” button, there is an option to select the Pfizer vaccine. CHC/SEK representatives will contact the recipients to schedule a date for the vaccine. 

For those without web access, the health center has a toll-free number, 866-888-8650 and a second number for Spanish-speakers 620-240-8940 to make vaccination appointments.  

The American Academy of Pediatrics (AAP) also has endorsed the Pfizer vaccine for the 12-and-up group — and agreed that it’s OK to give more than one vaccine at the same time, especially for children who are behind on their regular vaccinations. More than 3.78 million children have been infected with SARS-CoV-2cases and at least 303 have died, according to the AAP.

Vaccinating children helps shield others in the community from the virus, including people who are not protected by the vaccine, such as cancer patients and those with impaired immune responses. 

Experts also believe the more persons who are vaccinated, the less likely the virus will mutate and continue to spread further.

As with all COVID-19 vaccines, there is no out-of-pocket costs to vaccine recipients.  

Area News, Health Care

Diagnostic Imaging at NRMC Sees Continued Growth

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Diagnostic Imaging employees at NRMC who provide patients with ultrasound exams include, (L-R) Matt Law, Jackie Karleskint, and Joe Heathman.

 

April marked a record number of ultrasounds performed at NRMC with a total of 329 exams. Diagnostic Imaging at NRMC involves many different types of imaging machines and exams. Ultrasounds are used by physicians to study soft tissue structures, such as the gallbladder, kidneys, pancreas, and bladder. 

Ultrasounds can also measure the flow of blood in the arteries to detect blockages. It is most commonly understood for its use in studying the developing fetus during pregnancy.

“Being non-invasive, ultrasound is a strong alternative for certain imaging exams while providing no ionizing radiation exposure to the patient, says Todd Fine, Director of Diagnostic Imaging at NRMC. “The number of ultrasounds performed in April reinforces the decision to beef up our ultrasound imaging department to meet the needs of the area providers.”

With the addition of new providers, NRMC has seen the need for ultrasounds grow steadily and has begun to invest in expanding its capabilities and staffing accordingly.

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About Nevada Regional Medical Center
Serving a six-county area since 1937, Nevada Regional Medical Center is a 71-bed acute, intensive and skilled care hospital. Nevada Regional Medical Center has earned recognition as a respected regional medical center for its comprehensive health care services, skilled and caring employees and state-of-the-art medical technology. Staff represent more than a dozen medical specialties, including family practice, women’s services, neurology, urology, psychiatry, orthopedics, wound care services, and general, vascular, thoracic and oncological surgery. Additionally, consultation clinics are held regularly by specialists in oncology, pulmonology, podiatry, ear, nose, and throat and cardiology.

Bourbon County, Health Care

Uniontown Medical Clinic Open For Patients

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Lori Reith, left, medical assistant, and Stephanie Hallacy, nurse practitioner, stand in front of the newly opened Girard Medical Center of Uniontown Clinic.

Uniontown’s new medical clinic is open for patients as of May 4.

 

The staff has been in the building for a month, working on the accreditation process which was completed.

 

The clinic staff received accreditation this week.

 

“There was a soft opening for four weeks,” Medical Assitant Lori Reith said. “We have seen 20 patients.”

 

 

The official title of the facility is the Girard Medical Center of Uniontown Clinic.

 

 

The building is located south of the USD 235 football field, at 401 Fifth Street. The phone number is 620-756-4111.

 

 

Clinic hours are 8 a.m to 5 p.m. Monday, Wednesday, and Thursday. The clinic is closed each day between noon and 1 p.m.

 

On the front door of the clinic is a list of the summer holiday schedule.

 

Reith is in the clinic on Tuesdays doing bookkeeping, she said. “I can schedule appointments, answer questions and fill out new patient forms.”

 

 

Stephanie Hallacy is the nurse practitioner and Reith is the medical assistant of the clinic. Candi Adams is the director of clinic operations, with Dr. Adam Paoni the medical director.

 

 

 

Hallacy is a family practice nurse practitioner, who will be offering primary care to the community in western Bourbon County.

 

Hallacy has worked for Girard Medical Center since 2013 as a nurse practitioner in their clinics as well as its walk-in clinic, she said in a prior interview.

 

From 2006-2014 she was a flight nurse for EagleMed.

 

Prior to that, she worked as a registered nurse in an intensive care unit in Oklahoma from 1994 – 2006.

Nurse Practitioner Stephanie Hallacy works on charting at her desk in the Uniontown Clinic.
Hallacy received her 1994 associate degree in nursing from Grayson County College in Denison, TX,  her bachelor of science in nursing from the University of Oklahoma, and her master of science in nursing from Pittsburg State University in 2012.

To see a prior story on Hallacy, click below.

Stephanie Hallacy: New Nurse Practioner At Uniontown Clinic

 

 

Medical Assitant Lori Reith works at the front desk at the Uniontown Clinic.

 

Reith’s education was as an emergency medical technician but was cross-trained in the lab and as a medical assistant. She was a phlebotomist for 15 years and recently worked for the Community Health Center of Southeast Kansas in Iola.

Reith is married to Uniontown Junior High/Senior High Principal Mike Reith.

 

Medical Assistant Lori Reith stands in the laboratory of Uniontown Clinic.

 

A sign on the door of the clinic states a mask must be worn.

 

“It is a walk-in clinic, but also primary care,” Reith said.

Other services:

rapid testing for strep, flu, COVID-19

urinalysis, urinalysis for pregnancy,

hemoglobin tests,

tetanus shots,

blood draw,

monitor of blood pressure,

steroid shots,

stitches and

referral of patients.

 

“We are also able to do sports physicals free for the month of May, Reith said.  “We can do pre-school physicals. We offer immunizations, but those need to be scheduled.”

 

 

A patient exam room at the Uniontown Clinic.

 

 

 

 

 

 

 

Health Care

Happy Nurses Week to all the nurses of Kansas!

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We are excited to share that Governor Kelly has signed a proclamation, officially recognizing May 6 – May 12, 2021 as Nurses Week in Kansas. A full version of the proclamation can be viewed by visiting https://bit.ly/33knxCT.

You have been a face of hope for the people of our state over the past year. You have shown courage, resilience, and selflessness in the most difficult circumstances. You have provided comfort in our greatest time of need. You have been strong when strength was needed most. The amount of gratitude toward you is unsurpassable. It seems no amount of appreciation is enough, but let us try by giving a very heartfelt thank you.

This week, we honor you.
Kelly Sommers, BSN, RN
KSNA State Director
[email protected]
ksnurses.com

Government, Health Care, Kansas

Preventing Stillbirth

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KDHE partners with parents and providers to improve birth outcomes

TOPEKA – This Mother’s Day, the Kansas Department of Health and Environment (KDHE), Bureau of Family Health is partnering with Count the Kicks, an evidence-based stillbirth prevention campaign. The goal of Count the Kicks is to improve birth outcomes by educating expectant parents and providers about the importance of tracking fetal movement in the third trimester of pregnancy. According to Kansas Vital Statistics, one out of every 179 pregnancies* ends in stillbirth.[1] That equates to approximately 210 babies born still each year.[2]

“The Bureau of Family Health is committed to working closely with partners and organizations to support the healthiest outcomes for mothers and infants,” said Rachel Sisson, Director of the Bureau of Family Health at KDHE.  “We are proud to support evidence-based prevention programs such as Count the Kicks, and we have heard from Kansas moms that this campaign has made a difference in their lives.”

Maternal health providers, birthing hospitals, social services agencies, childbirth educators and other providers across our state can order FREE Count the Kicks educational materials available at www.countthekicks.org to guide them through the kick-counting conversation with expectant parents.

Count the Kicks also has a free app available in the iOS and Google Play app stores, giving expectant moms a simple, non-invasive way to monitor their baby’s well-being every day. The Count the Kicks app is available in 12 languages, including English, Spanish and Haitian-Creole. Features include kick-counting history, daily reminders and option to count for twins. Nearly 2,100 Kansas moms have downloaded the app.

Count the Kicks teaches the method for, and importance of, tracking fetal movement during the third trimester of pregnancy. Research shows the benefits of expectant moms tracking their baby’s movements daily and learning how long it normally takes their baby to get to 10 movements. After a few days, moms will begin to see a pattern, a normal amount of time it takes their baby to get to 10 movements. If their baby’s “normal” changes during the third trimester, this could be a sign of potential problems and an indication that a call should be made to the health care provider.

During the COVID-19 pandemic, expectant moms have reported changes to their regularly scheduled prenatal visits and an increase in telehealth visits. Now is an especially important time for moms to track their baby’s movements every day in the third trimester. By doing so, moms will have the peace of mind to know when things are okay and when things have changed.

In Iowa, where Count the Kicks began, the state’s stillbirth rate dropped by nearly 32 percent in the first 10 years of the campaign (2008-2018). Iowa’s stillbirth rate was one of the highest in the country and is now one of the lowest. KDHE is hoping to bring the same success that Iowa has seen to Kansas which would save approximately 58 babies each year.[3]

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About Kansas Department of Health and Environment Bureau of Family Health

The Kansas Department of Health and Environment’s mission is to protect and improve the health and environment of all Kansans. The Bureau of Family Health within the Division of Public Health provides leadership to enhance the health of Kansas women, men, children, and families through partnerships with providers and communities. The Bureau administers the Maternal and Child Health (MCH) programming for Kansas, which includes improving maternal and infant health. Find more information about KDHE and the Bureau of Family Health at: www.kdheks.gov/bfh/index.html.

About Count the Kicks

Healthy Birth Day, Inc. is the 501(c)(3) nonprofit organization that created the Count the Kicks public health campaign. Count the Kicks has been featured on Good Morning America, Inside Edition and in O Magazine. Count the Kicks has more than 75 baby-save stories from moms in 24 states around the country who have written in to share how they used Count the Kicks to help save their baby’s life. B-Roll of the Count the Kicks app in use is available upon request. For media interviews or to learn more about the Count the Kicks campaign, please contact Kimberly Isburg at 515-494-5115 or at [email protected].

 

[1] Number based on dividing 1,000 by the 5-year average stillbirth rate. Stillbirth data from KDHE Bureau of Epidemiology & Public Health Informatics. Stillbirths do not include abortions.

[2] Number based on the 5-year average stillbirth numbers, total stillbirth data from KDHE Bureau of Epidemiology & Public Health Informatics. Stillbirths do not include abortions.

[3] Number based on 5-year average stillbirth rate, multiplied by the 32% reduction seen in Iowa. Stillbirth data is from Kansas Vital Statistics. Note stillbirth rate is calculated by: Fetal Deaths/(Total of Live Births + Fetal Deaths)*1,000.

*Pregnancies does not include abortions, only live births, and stillbirths.

 

Area News, COVID-19, Health Care

COVID-19 Health Challenges Persist For Many

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Cognition and Swallowing Among the Common Challenges Persisting for Many Americans After COVID-19

Speech-Language Pathologists Can Help Patients Regain Health and Quality of Life, NRMC Expert Stresses During Better Hearing & Speech Month

With an estimated 10 to 30% of COVID-19 survivors experiencing “long-haul” symptoms including brain fog and swallowing difficulties, Nevada Regional Medical Center speech-language pathologist Andrea Wydick is encouraging the public to seek care from qualified experts who can help them regain their functioning and quality of life. Wydick is sharing this message in recognition of May being national Better Hearing & Speech Month (BHSM).

“The pandemic has posed so many challenges to us all as a society, but one of the persisting and most vexing ones right now is the daunting set of difficulties many people are having for months after contracting COVID-19,” said Wydick. “From brain fog, to difficulty eating and drinking, to speech and language problems, these can affect return to work, the ability to take care of one’s family, and overall recovery. Many people don’t know about the services of speech-language pathologists—professionals trained in these areas who can make a huge difference for these people. This is an important time for us to spread the word: Help is available.”

How They Help

Speech-language pathologists (SLPs) can help people with, or recovering from, COVID-19 who are having short- and longer-term difficulties in the following areas:

• Cognition

Many COVID-19 “long-haulers” are reporting persistent brain fog as a debilitating symptom after their bout with the virus. This can prevent a return to work and impact their ability to tend to family responsibilities. SLPs can work with individuals to improve their memory, attention, organization and planning, problem solving, learning, and social communication—such as re-learning conversational rules or understanding the intent behind a message or behind nonverbal cues. The focus is on the person’s specific challenges as well as regaining the skills that are most important to their daily life and priorities.

• Swallowing

People diagnosed with COVID-19 may experience swallowing problems that can put them at risk for choking or aspirating, which is when food goes into the lungs instead of the stomach. This may be the result of time spent on a ventilator, or it may be another side effect of the virus. SLPs use different types of tests to determine what happens when a person swallows and how the related muscles are working—helping a patient’s medical team, including the SLP, decide on the best course of action with the patient and their family. SLPs may recommend modified textures of food and drink for patients; therapy exercises to strengthen the tongue, lips, and muscles in the mouth and throat; and strategies to make eating and drinking safer, such as modifying the pace of chewing/eating, size of food, and more.

• Communication

People diagnosed with COVID-19 are also experiencing speech and language difficulties. Some, such as those who spent a significant amount of time on a ventilator or experienced low oxygen to the brain, may have muscle weakness or reduced coordination in the muscles of the face, lips, tongue, and throat—making it difficult to talk. Others, particularly those who experienced a COVID-related stroke, may experience a language disorder called aphasia—which makes it hard for someone to understand, speak, read, or write. SLPs work with patients through targeted therapy to improve their communication and understanding.

People who have severe speech and/or language difficulties may need to find other ways to answer questions or tell people what they want, such as through gesturing with their hands, pointing to letters or pictures on a paper or board, or using a computer. These are all forms of augmentative and alternative communication (AAC). SLPs help find the appropriate AAC method to meet an individual’s needs.

Where to Find Care

SLPs work in settings that include hospitals, long- and short-term care facilities, private practices, and patients’ homes. Many SLPs are also providing their services via telehealth at this time. If you or a loved one are experiencing communication challenges, Wydick recommends letting your doctor know.

For more information, Vernon County and area residents can contact NRMC Performance Therapy at 417-448-3790, or visit www.asha.org/public.

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About Nevada Regional Medical Center
Serving a six-county area since 1937, Nevada Regional Medical Center is a 71-bed acute, intensive and skilled care hospital. Nevada Regional Medical Center has earned recognition as a respected regional medical center for its comprehensive health care services, skilled and caring employees and state-of-the-art medical technology. Staff represent more than a dozen medical specialties, including family practice, women’s services, neurology, urology, psychiatry, orthopedics, wound care services, and general, vascular, thoracic and oncological surgery. Additionally, consultation clinics are held regularly by specialists in oncology, pulmonology, podiatry, ear, nose, and throat and cardiology.

Bourbon County, Community Health Center of Southeast Kansas, Fort Scott, Health Care

CHC Purchases Price Chopper Building

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The Price Chopper building.

 

It’s official.

The former Price Chopper building on south Main will be developed for a new site of the Community Health Center of Southeast Kansas in Fort Scott.

CHC currently leases the former Mercy Hospital building at 401 Woodland Hills Blvd.

 

“The sale has been finalized including an outparcel that was once being held for another development that didn’t materialize,” Krista Postai, CEO of CHC said. “So the entire building and parking lot is ours to develop.”

CHC paid $3,625,000 for the former grocery store that sits on the main thoroughfare of Fort Scott.

 

Krista Postai. Submitted photo.

CHC Closing On Price Chopper Building April 9

 

“The outparcel was immediately off US 69, near the sign,” Postai said.   “A very large chunk of the current parking lot.”

 

The future site is in a high-traffic area of Fort Scott, on U.S. Hwy. 69, with an address of 2322 S. Main Street.

 

The medical center will be making a large investment in the community.

 

“We estimate that when it’s all complete, we’ll have a $7 to $8 million investment including renovation and diagnostic equipment,” Postai said.

 

The project will be completed in less than two years, with the expiration of CHC’s current lease with Mercy ending in December 2022.

 

“We have less than two years to get it done so we’re jumping into the design phase,” Postai said.

 

CHC will be combining the clinic, walk-in care clinic and the pharmacy into the new development at 2322 S. Main.

 

“We did invite Via Christi Ascension to join us in this project but they indicated – very graciously – that they would need more time and were opting to remain in the existing Emergency Room in the Mercy Hospital Building (at 401 Woodland Hills Blvd.) which is still owned by the Mercy Health System.:

 

“As they requested, we will be donating back the land and helipad Mercy gave us behind the hospital for new construction now that we have the Price Chopper Building finalized,” she said.

 

The former Price Chopper tenant was there for two years.

 

Barry Queen, Queen’s Price Chopper, is the former tenant of the building. The property owner was  AWG, he said.  “(The property) is 40,000 sq. feet. “We closed the store in January of 2019, we had opened in December of 2017.  However, getting all the equipment out, etc. all happened in 2020.”

Allergy Clinic Coming

Also new on the horizon is a regional allergy clinic CHC will be starting this summer, she said.

“We thought Ft. Scott would be a good location for access from throughout our north and south service area,” Postai said.

 

 

Community Health Center of Southeast Kansas, COVID-19, Health Care

CHC/SEK to host Johnson & Johnson COVID-19 vaccine clinic  

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FORT SCOTT – The Johnson and Johnson one-dose COVID-19 vaccine will be available to all adults on Wednesday at the CHC/SEK Fort Scott clinic.
The vaccine will be available by appointment from 2 p.m. to 5 p.m. Currently, the federally allocated vaccine available at CHC/SEK is recommended for people age 18 and older. There is no cost to vaccine recipients.
CHC/SEK created https://chcsek.org/getmyshot where people can reserve their vaccine by filling out a contact form online. Using the web-based tool allows CHC/SEK to plan better for vaccine distribution. However, realizing not everyone has web access, the health center created a toll-free number, 866-888-8650 and a second number for Spanish-speakers 620-240-8940.
To learn more about the vaccine:
Bourbon County, Community Health Center of Southeast Kansas, COVID-19, Fort Scott, Health Care

CHC Closing On Price Chopper Building April 9

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Community Health Center of Southeast Kansas, 403 Woodland Hills Blvd.

 

New buildings/expansions are on the horizon for the Community Health Center of Southeast Kansas.

 

CHC is working on the purchase plan for moving from its’ Fort Scott present site to the former Price Chopper building on Main Street at  23rd Street.

 

The present site is the former Mercy Hospital building at 401 Woodland Hills.

 

“We are… closing on our purchase of the 40,000 sq. ft. Price Chopper Building in Fort Scott on April 9,” Postai said.  “The plan is to combine our walk-in care and main clinic together. The renovation will start as soon as possible, with a goal of completion prior to the expiration of our current lease with Mercy in December 2022.”

Krista Postai. Submitted photo.

 

There is also a new CHC building in Pittsburg.

 

“We have scheduled our groundbreaking for our new Medical Education Building in Pittsburg which will be home to all the students we are/will be training,” Postai said.

 

The groundbreaking will be May 3 at 12:30 p.m. at the John Parolo Education Building, south of the CHC/SEK System Office.

 

“About $5.6 million in donations have been raised to cover the full cost of the building and its furnishings scheduled for completion in the summer of 2022,” she said. “In the meantime, work continues on the establishment of a family practice residency program in Pittsburg in collaboration with Kansas University Medical Center and Via Christi/Ascension; the application for accreditation has been submitted with a ‘virtual’ survey planned this fall.”

 

CHC is planning a clinic in Chanute in the near future.

 

“We also bought 10 acres of land in Chanute on which to build a clinic in Neosho County,” she said. “Given all our other projects, it will probably take us 3-5 years to get this done.”

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