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 the Waynes, Bruce is a young child. After several months, Alfred voices the desire to quit and return home to continue his life as an actor. However, these plans are momentarily forgotten when young Bruce returns home after getting into a fight with a school bully. Alfred teaches Bruce to handle the bully strategically, rather than using brute force. Following Alfred's advice, Bruce takes care of his bully problem. Upon returning home, Bruce requests that Alfred stay, and Alfred agrees without a second thought. Alfred raises Bruce after the Waynes are murdered. Alfred later helps Bruce raise Dick Grayson, Jason