Former gymnastics doctor Larry Nassar, accused of sexually abusing more than 140 girls and women, picked a fight with the judge overseeing his marathon sentencing hearing.

He lost.

In a six-page single-spaced letter, Nassar complained it was too hard for him to listen to dozens of victims describe how he abused them under the guise of medical treatments and how it wrecked their lives. He accused the judge of turning the proceeding into a "media circus" and putting herself in the spotlight.

"Now this is entertaining to me," Aquilina said as she read from the letter in court on Thursday:

"Aquilina said if I pass out she'll have the EMTs revive me and prop me up in the witness box."

The judge scoffed.

9 PHOTOS Gymnasts who have accused Larry Nassar of assault See Gallery Gymnasts who have accused Larry Nassar of assault Rachael Denhollander (C) the first woman to publicly say she was sexually abused by Larry Nassar, the former physician for the U.S. womens gymnastics team is hugged during a hearing in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) Larissa Boyce, a former gymnast sexually abused by Larry Nassar, the former physician for the U.S. womens gymnastics team attends a hearing of Nassar's trial in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) Rachael Denhollander (4th L with white blouse) the first woman to publicly say she was sexually abused by Larry Nassar, the former physician for the U.S. womens gymnastics team attends a hearing in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) Madeleine Jones, 18 of Farmington Hills, Michigan, who was victimized by former Michigan State University and USA Gymnastics doctor Larry Nassar attends a hearing in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) Larissa Boyce (R) gets a hug from Alexis Alvarado, both victims of Larry Nassar, during a hearing in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) kalie Lorincz (C) who was victimized by former Michigan State University and USA Gymnastics doctor Larry Nassar during a hearing in Ingham County Circuit Court on November 22, 2017 in Lansing, Michigan. Former USA Gymnastics team doctor Lawrence (Larry) Nassar, accused of molesting dozens of female athletes over several decades, on Wednesday pleaded guilty to multiple counts of criminal sexual conduct. Nassar -- who was involved with USA Gymnastics for nearly three decades and worked with the country's gymnasts at four separate Olympic Games -- could face at least 25 years in prison on the charges brought in Michigan. / AFP PHOTO / JEFF KOWALSKY (Photo credit should read JEFF KOWALSKY/AFP/Getty Images) ANTWERPEN, BELGIUM - OCTOBER 02: McKayla Maroney of USA gets ready to compete in the Womens Vault Qualification on Day Three of the Artistic Gymnastics World Championships Belgium 2013 held at the Antwerp Sports Palace on October 2, 2013 in Antwerpen, Belgium. (Photo by Dean Mouhtaropoulos/Getty Images) RIO DE JANEIRO, BRAZIL - AUGUST 16: Aly Raisman of the United States performs during the women's floor exercise final at Rio 2016 on Tuesday, August 16, 2016. Raisin finished second to fellow American Simone Biles. (Photo by AAron Ontiveroz/The Denver Post via Getty Images) WASHINGTON, DC - SEPTEMBER 29: Olympic medalist Simone Biles stands on stage during an East Room event at the White House September 29, 2016 in Washington, DC. President Obama and first lady Michelle Obama welcome the 2016 U.S. Olympic and Paralympic teams to the White House to honor their participation and success in the Rio Olympic Games this year. (Photo by Elsa/Getty Images) Up Next See Gallery Discover More Like This HIDE CAPTION SHOW CAPTION of SEE ALL BACK TO SLIDE

"I suspect you have watched too much television," Aquilina said. "It's delusional. You need to talk about these issues with a therapist and that's not me."

Nassar, 54, the former team doctor for the U.S. Olympic gymnastics team, has pleaded guilty in Ingham County to molesting seven girls. Aquilina is allowing all of Nassar's accusers to give impact statements in person, and more than 100 have signed up.

They stand at a podium, often sobbing as they speak. Nassar, wearing blue jail clothing and a hangdog expression, mostly keeps his head and eyes down and sometimes shakes or weeps.

He sat quietly as Aquilina read out parts of his letter to the court, starting with his complaint about the media coverage.

"I didn't ask any media to be here," she said.

Then she turned to an excerpt where Nassar seemed to be upset that more women than the seven in his plea deal were being given their day in court.

"Aquilina is allowing them all to talk," he wrote. "She wants me to sit in the witness box next to her for all four days so the media cameras will be directed at her."

The judge sounded incredulous as she read the words aloud, saying she didn't need the face time.

"I don't have a dog in this fight, sir," she said, adding, "I didn't want even one victim to lose their voice."

"Spending four or five days listening to them is significantly minor considering the hours of pleasure you had at their expense and ruining their lives," she said.

Nassar said in the letter that he passed out twice before his federal sentencing on child pornography charges, which got him 60 years in prison.

"I'm sorry about that, sir. I wish you well," Aquilina said.

She said she had cut Wednesday's court session short to allow Nassar to meet with mental health services. She asked if they had recommended any accommodations for him, and he said meekly they had not.

Nassar will be sentenced at the conclusion of the hearing, which could go into next week. Five more women have just requested time to speak, bringing the total to 105, prosecutors said.