Published: Nov 20, 2010 12:52 AM EST
Updated: Nov 19, 2010 9:52 PM EST

COLLIER COUNTY, Fla. - The man accused of killing his family by slitting the throats of his wife and five children appeared in court on Friday.
Seven bailiffs escorted a shackled Mesac Damas into court.  He appeared frail and didn't speak.  He is accused of killing his wife Guerline and their five children.  
Damas' public defender says he is not eating well in jail. 
"He looks noticeably thinner," said Kathleen Fitzgeorge.  "He is taking nutrition."
Damas' competency is also coming into question.  He's already been evaluated by a psychologist, but those results aren't being released.  
Now, the court agreed he'll be examined by another doctor to make sure he's fit to stand trial.  It could take weeks before the court gets the second psychologist's results.  Damas is due back in court in January.