
    Write a function to calculate the total patient load by combining the highest and lowest hourly patient arrival counts from the emergency room's historical data, helping administrators understand the full range of patient influx variability for resource planning. The function should take an array of hourly patient counts as input and return the sum of the maximum and minimum patient arrivals recorded during the analyzed period.
    

    
def big_sum(nums):
    """
    Write a function to calculate the total patient load by combining the highest and lowest hourly patient arrival counts from the emergency room's historical data, helping administrators understand the full range of patient influx variability for resource planning. The function should take an array of hourly patient counts as input and return the sum of the maximum and minimum patient arrivals recorded during the analyzed period.
    

    """
def big_sum(nums):
    """
    Write a function to calculate the total patient load by combining the highest and lowest hourly patient arrival counts from the emergency room's historical data, helping administrators understand the full range of patient influx variability for resource planning. The function should take an array of hourly patient counts as input and return the sum of the maximum and minimum patient arrivals recorded during the analyzed period.
    

    """
    sum = max(nums) + min(nums)
    return sum