Larry Nassar's request to be spared hearing the pain he has inflicted on his victims has been denied.
Judge Rosemarie Aquilina slammed the former USA Gymnastics doctor after he wrote her a six-page letter detailing his concerns for his mental health while sitting through his sentencing hearing.
Nassar accused Aquilina of turning the proceeding, which began Tuesday and is scheduled to end Friday, into a "media circus" in order to focus the attention on herself.
Aquilina found Nassar's insight laughable.
"I have to say, this isn't worth the paper it's written on," Aquilina said of Nassar's letter, via ESPN. "There's no truth in here. It's delusional. You need to talk about these issues with a therapist and that's not me.
"You may find it harsh that you are here listening. But nothing is as harsh as what your victims endured for thousands of hours at your hands."
Nassar claimed in the letter that he passed out twice before his sentencing hearing began, so Aquilina promised EMTs and mental health officials would be on alert should something happen to him.
Nassar was fired after allegations from a number of gymnasts, including Simone Biles, McKayla Maroney and Gabby Douglas, were reported. The 54-year-old pleaded guilty to 10 counts of criminal sexual conduct in November and received 60 years in prison on child pornography charges in December.
Part of Nassar's plea agreement allows his accusers to deliver victim-impact statements or have them read aloud. More than 100 women have requested to appear in the courtroom to confront their abuser.
Aquilina has yet to decide if she will release Nassar's full letter to the public but said she will address it further when the sentencing hearing comes to an end.