In the middle of the hearing, with his head down and face inches from the table in front of him, Loughner reportedly said "thank you for the freak show. She died in front of me."
He was removed from the courtroom.
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When he was brought back in, Loughner was given the option of remaining in the courtroom, or watching the proceedings on a TV screen from another room.
"I want to watch the TV screen," Loughner responded.
Loughner will now head to a prison hospital in Springfield, Missouri, where the goal is to get him to voluntarily take medication to restore his competency. He can be held for up to four months before another competency hearing can take place.
If Loughner refuses to take medication, the judge can order him involuntarily medicated.