That is sooo gross...I can’t even identify the body parts.
How does she or any other obscenely large person even perform normal body hygiene?
My guess is that not much hygiene is going on there.
after a while she will get yeast and other skin infections going on in the folds of her skin. my mother was a nurse and sometimes had to take care of the morbidly obese patient. the medical staff also needs a special lift to move the patient around in bed.