Alfred Pennyworth has also provided first aid up to and including suturing wounds and removing bullets, as well as occasional tactical support. He is also able to perform arthroscopy and other advanced medical procedures, thus limiting, if not eliminating, the need for hospital medical treatment even in the face of grievous injuries, helping to maintain Batman's secret identity by ensuring that Bruce Wayne has no need to visit hospitals for wounds inflicted as Batman. Nevertheless, Batman still requires professional medical treatment when Bane breaks his back ("") and Hush's machinations result in his suffering a skull fracture (""). On these occasions, Alfred
Alfred Pennyworth thoughts being to consider how utterly proper it is that he should die as Wayne Manor ceases to exist. In the sequel, "", the Batcave computer has been programmed with an artificial intelligence named and apparently patterned after Alfred, to the point that it refers to Bruce as "Sir". Alfred appears as a main character in Geoff Johns' and Gary Frank's "". In this incarnation, Alfred was a member of the Royal Marines. Alfred met Thomas Wayne during a tour of duty in the Middle East and the two became good friends. During a battle, Alfred saved Thomas' life but