(Note to clerical staff — please exclude the following note if there are future record requests.  An alternate explanation, more plausible than the histories associated with many of patient’s injuries, is a series of industrial mishaps.  As head of Wayne Enterprises, patient presumably takes a very active role in the company’s various subsidiary R&D departments.  These subsidiaries include biotech, chemical and numerous other firms that traffic in hazardous materials.  One might infer that some of patient’s more extreme medical problems stem from exposure to these hazards while taking a hands-on approach to running his company.  There are a few understandable reasons that patient might wish to keep the true nature of his injuries private, despite assurances of medical confidentiality given that leaks of this information might undermine confidence in his company’s governance or alternatively might jeopardize secret government contracts.  While it is somewhat regrettable that patient does not feel comfortable revealing the true nature of these injuries and exposures, it is nevertheless understandable.)