
    Write a function that calculates the combined value of the most extreme vital sign readings (highest and lowest) from a patient's monitoring data to help identify potentially critical medical conditions. The function should process an array of vital sign measurements and return the sum of the maximum and minimum values, which can be used to trigger appropriate medical alerts in the emergency room triage system.
    

    
def big_sum(nums):
    """
    Write a function that calculates the combined value of the most extreme vital sign readings (highest and lowest) from a patient's monitoring data to help identify potentially critical medical conditions. The function should process an array of vital sign measurements and return the sum of the maximum and minimum values, which can be used to trigger appropriate medical alerts in the emergency room triage system.
    

    """
def big_sum(nums):
    """
    Write a function that calculates the combined value of the most extreme vital sign readings (highest and lowest) from a patient's monitoring data to help identify potentially critical medical conditions. The function should process an array of vital sign measurements and return the sum of the maximum and minimum values, which can be used to trigger appropriate medical alerts in the emergency room triage system.
    

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