I wonder if "Lydia" had a sister "Lillian"? Here's a much older song as sung by Oscar Brand:

Her Name Was Lil

Well, her name was Lil and she was a beauty,
She came from a house of ill reputy,
Gentlemen came from miles to see
Lillian in her deshabille.

She was comely and she was fair,
She had lovely golden hair,
But she drank too deep of the demon rum,
She smoked hashish and opium.
Yeah, she smoked hashish and opium.

Well, day by day her form grew thinner,
From insufficient protein in her,
She grew two hollows on her chest,
Why, she had to go around completely dressed.

Now clothes may make a gal go far,
But they have no place on a fille de joie,
Lillian's troubles started when
She concealed her abdomen.
She concealed her abdomen.

Well, she took to treatments in the sun,
She drank of Scott's Emul-si-on,
Three times daily she took yeast,
But still her clientele decreased.

For you must know her cliente-le,
Rested chiefly on her belly,
She rilled this thing like the deep Pacific,
It was something calorific.
Why, it was something calorific.

So, she went to the house physician,
To prescribe for her condition,
"You have got," the doctor did say,
"Pernicious anem-i-a."

As Lillian lay in her dishonor,
She felt the Devil's hand upon her,
She said, "Me sins I now repents,
"But Satan, that'll cost you fifty cents.
"That's gonna cost you just fifty cents."

Cheerily,
Charley Noble