i can definitly see and understand where your feelings are coming from.
i havent even had surgery yet and i already feel like im not the same person, let alone how i will feel after.
its important that you know that your feelings are legetimate, they are real and need to be acknowlegded by you. The first step to getting better is realizing and taking steps to heal, which i think you are doing by helping others.
i have had many periods of depression in my life as well, the biggest one when my husband left me for another woman, pregnant and with other children. for a long time i felt that i was used goods that no one would ever want as a life partner, i felt damaged and ugly.
I think you need to identify with just how valuable you are, to your family, your wife, to us.
( and by the way i see your picture and you are a cutie, no reason to rip up any picture of you)
You have worked really hard physically to get to where you are today, you have climbed huge mountains, you have a great deal to be proud of.
When i become discouraged i remember youm and Nate and the other on this board you have done so well, and you inspire me, you remind me that i will be OK.
You are perfect, you are OK, you will be fine.
Choose to live, choose to enjoy every day, and I know its easier said then done, but if anyone can do it, it is you.
Hugs,
T