I have no doubt it's exactly what she says: she's tired of being called fat & ugly by people hiding behind pseudonyms, and she's worried that if Patrick hears rumors that "Jeff says Kami's on drugs" she'll have trouble getting budget to produce videos.
While the latter might seem unlikely remember that she hasn't been able to even make a joke here in the past without one or more porn rumor sites reporting it as fact.
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"If they can't picture me with a knife, forcing them to strip in an alley, I don't want any part of it. It's humiliating." - windsock