Consult with experienced Medical malpractice attorneys in the state where this occurred.

Yes lost income is a recordable damage in a defamation lawsuit.

They are bound by the contract. But this may be a sign of problems to come with this company.

Look at the agreement. It will state what state’s laws apply.

No you cannot get in trouble for what she offered. If the agreement for pictures was legal then you can sue in small claims court.

There are methods of collecting judgment out of the US but it requires addition work by the creditor.

There is not enough information to determine what is occurring. Look at the court records.

Consider a judgment debtor examination.

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A good consumer rights attorney may be able to challenge the purchase and repossession.

It sounds like you do need need to pay but you will need to look into this further to confirm.