It depends on the test. At my vet, they can run a general blood test in-house. It will show blood counts basically - if the cat is anemic, if they have a high white cell count which could indicate infection, etc. And, of course, FIV/FeLV. Anyway, that test can show results in about half-an-hour. In that one small way, the second vet might have shown some sense.
I didn't think of Lyme Disease, it wouldn't occur to me because I live in an area where we don't have to worry about it.
While posting this, I just remembered my Seshat who fell from a high cat climber and landed badly. She jarred her back. I took her to the emergency vet where they didn't realize she had a problem with her back but bound up her foot because they thought she'd fractured a toe. It took a couple weeks of seeing her spasming in pain and yowling when she moved in a certain way for a third vet to tell me what was wrong with her. I remember that the condition did get worse for a while before it eased up, but it took months for her to be back to nearly normal and more than a year before she had no symptoms at all. This was a long time ago so no vet suggested pain medications, as they would today.
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