Ballooning can be harmless and doesn't mean that there's severe phimosis, much less severe enough to require surgery. The process of natural separation takes time.
Phimosis isn't even a birth defect, it's not supposed to be pulled back for an infant. There's basically no medically justifiable reason, ever, to do this to a baby.
If you can find an original Model M locally and confirm it's functional (and not too many plastic rivets are broken), it's a fine keyboard. That's as long as you can live without Windows keys. I mapped capslock to winkey and was happy with that.
A compatible USB controller is easy enough to find.
I was shocked to realize that the degens on that instance aren't just trolls setting out to make the far left look as stupid as possible, they're true believers and really are that dumb. For a few harrowing days until they received defederation in exchange for their cool emojis and tankie wordvomit, I wondered whether McCarthy maybe wasn't such a bad guy after all.
Of course, takeoff and climb are typically at full power but to reach cruising altitudes for a single engine airplane doesn't take very long. It's a similar concept to a car on a highway onramp, except that airplanes actually get more efficient at higher altitudes.
It factors into overall consumption but it doesn't really blow the whole equation for efficiency. Pilots in training do takeoffs and landings on repeat for hours at a stretch between refueling.
Ballooning can be harmless and doesn't mean that there's severe phimosis, much less severe enough to require surgery. The process of natural separation takes time.