Yukonphal - I agree that you need to repot now for the sake of the plant. I would try to disturb the root ball as little as possible. If the medium is that bad, you should beable to most of it out by spraying the rootbal with a garden hose.
When you repot gently work the new medium into the root ball, tapping on the side of the pot or tapping the pot on the table will help to settle and work in the medium.
Good luck, let us know how you make out.
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