Hello, I am twinkles. I have been diagnosed with L4-5 spondylolisthesis and stenosis. The procedure is L4-5 TLIF using PEER, BMP, pedical or cortical screws. My concern is that I have no family in the area where I live or able to come to assist me. Most of my friends still are working and are not able to come to assist me either. They can do a quick stop in or bring in groceries. BUT I need 24/7 care especially immediately after the surgery. It seems that I can go to a nursing home or hire a private pay aide to assist me. Is there any other option? I would like to have insurance coverage, but mine does not cover having an aide. The nursing homes with rehab that I have visited are depressing and I don't think I will receive the care I need. So HELP, what do singles do?