Hi, Brian.

Two reasons.

1. The field recording of Iron Head's song (as we have it) lacks the opening line:


https://www.youtube.com/watch?v=GiFEd8UckVk

2. The Lomaxes routinely conflated their collected texts to make singable versions.

But the important point is that Georgia Griffin *did* sing "SJH." As did Sharp's American singer, Victoria Donald.

So what Iron Head may or may not have sung becomes rather moot.

The fact remains that "St. James's Hospital" did appear in some traditional
versions of the song, decades before Lloyd.