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Speaking of words that start with H... What about the practice of treating H as if it were silent at the start of a word? Even extending to the choice of using "a" or "an" when placing the article before the word:

UK: "The dolphin will jump through an 'oop" US: "The dolphin will jump through a hoop"

I've never heard anyone ever do that over here. H's get pronounced just fine (in that example anyway). Edit: Unless its on Eastenders

Of course you're supposed to put an 'an' before a word beginning with H. e.g. 'An hotel' as if it begins with a vowel - but nobody ever does that.

The hospital one I'm unsure of - we've had that discussion on this bbs before though! I would say 'in hospital'.