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
Hugh A. Butler his mind during the last few months of his life. Butler died in office on the night of July 1, 1954, following a stroke that had occurred earlier in the day. Robert B. Crosby, governor of Nebraska at the time of Butler's death, appointed Samuel Williams Reynolds to fill his seat. Hugh A. Butler Hugh Alfred Butler (February 28, 1878July 1, 1954) was a Nebraska Republican politician. Hugh Butler was born on a farm near Missouri Valley, Iowa on February 28, 1878. He graduated from Doane College at Crete, Nebraska in 1900, where, in 1987, he founded the Alpha Omega