Ex-doctor Larry Nassar called a letter he'd written to the court this week a cry for mental help.

Judge Rosemarie Aquilina called it "mumbo jumbo."

Nassar, a former doctor who is currently in the third day of a sentencing hearing for seven charges of criminal sexual abuse on his former patients in Ingham County, wrote a lengthy letter to the court that criticized Aquilina for subjecting him to a "four day sentencing media circus."

In the letter, Aquilina said, Nassar referenced issues with his heart and said he was not sure he'd be able to sit through the entire sentencing, hearing several days worth of victim testimony.

Aquilina said she didn't have a dog in the fight, and told Nassar in no uncertain terms that she didn't want to hear his complaining.

"Spending four or five days listening to them is significantly minor considering the hours of pleasure you've had at their expense and ruining their lives. None of this should come as a surprise to you."

The judge and Nassar's attorneys said community mental health officials are on standby to meet with Nassar should he need mental health treatment.

Addressing other aspects of the letter, Aquilina said she gave Nassar the benefit of the doubt before the plea deal came through in his case.

"I did everything I can to make sure you had a fair and impartial trial," Aquilina said, telling Nassar that it shouldn't come as a surprise to him that the media is interested in his case.

"They are clearly focused on you and your acts," she said.

Of his letter, Aquilina said "this isn't worth the paper it's written on."