On the gameshow "To Tell the Truth," actress Kitty Carlisle asked a contestant "What is Lawrence of Arabia's real name?" He replied (without missing a beat), "Peter O'Toole."

Close — but not close enough to be right. (The correct answer: T.E. Lawrence)

Whether skirting the truth is inadvertent or intentional, it's a losing proposition. Nothing demonstrates that more clearly than the challenges that 28 million Medicare recipients who tuned in with their doctors on the computer or phone (66% were audio-only) faced during the first year of the pandemic.

Adjusting to a new way of communicating health concerns and of understanding medical advice simply compounds the trouble many people have communicating with their doctors.

One survey in JAMA Network Open found that 60% to 80% of patients admit shaving the truth when talking with their doctor face-to-face.

And it's estimated that even in person, 90% of patients don't fully understand or remember what to do after their doctor appointment. Just imagine what it's like when the appointment is virtual.

Televisits can be convenient, help fill in missed appointments, and get you fast answers to urgent questions. But you need to speak up, loud and clear.

Have a list of written questions to go over (consider emailing it to the doctor before the appointment); record the appointment (Zoom and smart phones make that easy); ask a family member to sit in with you; and take advantage of your doctor’s online medical chart app (My Chart) that posts your appointment information.

And check out the video "Speak Up: About Your Care" at www.jointcommission.org.