Posted with permission from Newsweek

The judge presiding over Larry Nassar's sexual misconduct case Wednesday tossed the disgraced doctor's letter about his crimes aside and chewed him out in the courtroom while sentencing him to up to 175 years in prison.

"You do not deserve to walk outside of a prison ever again," Judge Rosemarie Aquilina told Nassar after seven days of testimony from his victims.

"I signed your death warrant," she added.

Nassar, a former USA Gymnastics doctor, faces 40 to 175 years behind bars after pleading guilty to first-degree criminal sexual misconduct for sexually assaulting girls he treated. That comes after he has already been sentenced to 60 years in prison for child porn possession.

Nassar spoke to the court on Wednesday, saying there were "no words to describe the depth and breadth of how sorry I am for what has occurred."

But Aquilina focused on a six-page letter he sent to the court last week, in which he said his treatment of the gymnasts was "medical, not sexual" and he complained about the women vilifying him.

"'Hell hath no fury like a woman scorned," he said in the letter, which Aquilina read with resounding disapproval. 

The judge told Nassar she didn't believe his apologies and that he wasn't fit to treat anyone or anything.

"I wouldn't send my dogs to you, sir," she told him. 

Ahead of Nassar’s sentencing, Aquilina allowed more than 150 women and their family members, including several Olympic gymnasts, to share their testimony of sexual abuse they suffered at his hands. 

Nassar, 54, had pleaded guilty in Ingham County, Michigan to sexually assaulting seven girls in Michigan from 1998 to 2015. He still faces sentencing for three counts in Eaton County. 

Olympic gold medalist Aly Raisman, 23, faced Nasser and recounted her story in court last week. Raisman called Nasser "pathetic" and "sick" in her testimony. 

"I am here to face you Larry, so you can see I have regained my strength — that I am no longer a victim, I am a survivor," she said. "I am no longer that little girl you met in Australia where you first began grooming and manipulating." 

Several U.S.A. Gymnastics board members have announced their resignations following the scandal. On Wednesday, Aquilina called for an investigation into those who protected Nasser. 

"There has to be a massive investigation as to why there was inaction, why there was silence," she said. "Justice requires more than what I can do on this bench."