Rails - Jul 2006 - Custom paginator?

I have the following query I need to paginate.  Looks like I need a
custom paginator for this.  Am I right?

SELECT full_name, address1, address2, city, state, zip,
abms_certification,  X(geom) AS X, Y(geom) AS Y FROM physicians
where address_status = 1
and geom && Expand(GeometryFromText(''POINT(47.651443
-117.411025)'',4326),1)
AND Distance(geom,GeometryFromText(''POINT(47.651443
-117.411025)'',4326)) < .362