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
Matthew Butler and Matthew Calbraith Perry, for whom Matthew Calbraith Butler is named. His father, William Butler, Jr., was a Congressman beginning in 1841. His uncle Andrew Butler was a U.S. Senator from South Carolina and uncle Pierce Mason Butler was Governor of South Carolina. One of Matthew Butler's first cousins was Congressman Preston Brooks, who assaulted Senator Charles Sumner in 1856 on the floor of the U.S. Senate with a cane. He said it was because Sumner had insulted Senator Andrew Butler, at whose home Matthew lived as a young man. Two of Butler's first cousins twice removed were James Bonham