These things just come out. I think it might be mild Tourette’s, not to insult people who have proper Tourette’s, but I will say the most inappropriate things at the most inappropriate time to the most inappropriate person. Always. Guaranteed.
Her nicknames for other states include Massivetwoshits for Massachusetts and Conneticunt. There’s really nothing good that can come out of Sienna’s mouth. I bet if you start a conversation with her, you may actually die from the idiocy crushing your brain. At the very least, you’d end up like someone just performed a lobotomy on you.