diff --git a/.claudian/sessions/conv-1793687993890-8fd8iw2a3.meta.json b/.claudian/sessions/conv-1793687993890-8fd8iw2a3.meta.json
index cfa663a..beac418 100644
--- a/.claudian/sessions/conv-1793687993890-8fd8iw2a3.meta.json
+++ b/.claudian/sessions/conv-1793687993890-8fd8iw2a3.meta.json
@@ -4,8 +4,8 @@
   "title": "Identify image via vision",
   "titleGenerationStatus": "success",
   "createdAt": 1793687993890,
-  "updatedAt": 1793690825154,
-  "lastResponseAt": 1793690825154,
+  "updatedAt": 1793866714216,
+  "lastResponseAt": 1793866714216,
   "sessionId": "01a1a04c-2e66-7071-a2b9-a0be9e66d7bc",
   "providerState": {
     "threadId": "01a1a04c-2e66-7071-a2b9-a0be9e66d7bc",
@@ -13,13 +13,13 @@
     "transcriptRootPath": "C:\\Users\\Administrator\\.codex\\sessions"
   },
   "usage": {
-    "inputTokens": 50247,
+    "inputTokens": 66734,
     "cacheCreationInputTokens": 0,
-    "cacheReadInputTokens": 0,
+    "cacheReadInputTokens": 60544,
     "contextWindow": 121600,
     "contextWindowIsAuthoritative": true,
-    "contextTokens": 50247,
-    "percentage": 41,
+    "contextTokens": 66734,
+    "percentage": 55,
     "model": "gemini-3.8-flash-high"
   }
 }
\ No newline at end of file
diff --git a/.obsidian/workspace.json b/.obsidian/workspace.json
index d8ac473..b048b15 100644
--- a/.obsidian/workspace.json
+++ b/.obsidian/workspace.json
@@ -13,12 +13,12 @@
             "state": {
               "type": "markdown",
               "state": {
-                "file": "思睿/身高/第一医院/第一医院检查总结.md",
+                "file": "思睿/初中/观音山音乐学校分析.md",
                 "mode": "source",
                 "source": false
               },
               "icon": "lucide-file",
-              "title": "第一医院检查总结"
+              "title": "观音山音乐学校分析"
             }
           }
         ]
@@ -197,9 +197,15 @@
       "realclaudian:Open Claudian": false
     }
   },
-  "active": "fdbcd1b46c89bc2a",
+  "active": "954f65aea5446985",
   "lastOpenFiles": [
-    "test.txt",
+    "思睿/身高/综合健康复诊分析.md",
+    "思睿/身高/综合健康评估总结.md",
+    "思睿/身高/第一医院/第一医院检查总结.md",
+    "思睿/七年级/作文/照顾妹妹的一天-作文批改打印版.pdf",
+    "思睿/七年级/作文/照顾妹妹的一天--原文.md",
+    "思睿/哥哥身高.md",
+    "妹妹/妹妹身高.md",
     "思睿/身高/第一医院/报告/20261019报告/extracted_images/血常规 20261019_p1_img2.png",
     "思睿/身高/第一医院/报告/20261019报告/extracted_images/血常规 20261019_p1_img1.png",
     "思睿/身高/第一医院/报告/20261019报告/extracted_images/胰岛素测定 20261019_p1_img2.png",
@@ -211,26 +217,20 @@
     "思睿/身高/第一医院/报告/20261019报告/extracted_images/常规生化全套检查 20261019_p1_img2.png",
     "思睿/身高/第一医院/报告/20261019报告/extracted_images/常规生化全套检查 20261019_p1_img1.png",
     "思睿/身高/第一医院/报告/20261019报告/extracted_images",
+    "test.txt",
     "思睿/身高/第一医院/temp_zip_check/第一医院检查总结.md",
     "思睿/身高/第一医院/temp_zip_check",
     "思睿/思睿资料核对与待办清单.md",
-    "思睿/哥哥身高.md",
-    "思睿/身高/综合健康评估总结.md",
-    "思睿/身高/综合健康复诊分析.md",
-    "思睿/身高/第一医院/第一医院检查总结.md",
     "思睿/身高/第一医院/病例/2026-10-19.pdf",
     "思睿/身高/第一医院/nzp8C3E.tmp",
     "思睿/身高/第一医院/第一医院检查总结.zip",
     "思睿/身高/第一医院/病例/2026-07-11.pdf",
     "思睿/身高/第一医院/病例/2026-07-18.pdf",
     "思睿/身高/第一医院/病例/2026-05-16.pdf",
-    "思睿/身高/第一医院/病例/2026-03-21.pdf",
-    "思睿/身高/第一医院/病例/2026-03-14.pdf",
     "小鱼/闲鱼数据分析_2026-11-03.md",
     "小鱼/闲鱼选品与运营指导_2026-11-03.md",
     "娟/2026年医保社保缴费季度汇总.md",
     "娟/2026年医保社保缴费对外汇总.md",
-    "妹妹/妹妹身高.md",
     "思睿/初中/观音山音乐学校分析.md",
     "小鱼/闲鱼选品侦察_2026-09-17.md",
     "日常/OpenClaw小朋友入门指南.md",
@@ -242,7 +242,6 @@
     "Ai/hermes/岗位卡.md",
     "小鱼/闲鱼近30天运营复盘_2026-07-25.md",
     "Ai/codex/AGENTS.md",
-    "思睿/七年级/作文/照顾妹妹的一天--原文.md",
     "思睿/七年级/作文/七年级作文批改规范提示词.md",
     "思睿/七年级/作文/含羞草-修改稿.md"
   ]
diff --git a/思睿/身高/第一医院/第一医院检查总结.md b/思睿/身高/第一医院/第一医院检查总结.md
index bd9e85e..81e4fee 100644
Binary files a/思睿/身高/第一医院/第一医院检查总结.md and b/思睿/身高/第一医院/第一医院检查总结.md differ