I was thinking the same thing.  She can't casually rest her hands in her lap because she doesn't have one so she has to fold them atop her gut.  She can't cross her legs so she has to sit with both feet flat on the floor - she can't even cross her ankles.  I bet regular shoes hurt her feet so she wears thongs and jeans or chinos cut into her gut so she wears stretch pants.  She looks miserable.