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I just heard definitively from my rov that the answer why the halacha is as brought down in orach chaim (thanks Sam2, what a zchus) that one should daven before counting when the reality is the same? Because Hashem can make a nes before the count without it being a nes nigleh. The halacha is one should say this before a doctor also, but without shem umalchus because a bracha is not guaranteed.
Nu, so if someone has cancer in their body and NO ONE knows about it, before going to a doctor Hashem can do the same thing no? If it were a nes nigleh, there would be no bechira in the world. So to go to the doctor without davening and doing teshuva and taking away the possibility of a nes nistar is thus very dangerous.