A commonly used alternative to douche, and one which can be used positively OR negatively. Think of it as the new and improved version of douche.
Conversation beteween bros:
"Nothin' much dooch, how 'bout you?"
Conversation between mother and child:
"Oh Johnny, you're such a little doocher!"
"Thanks mom, I love you!"
Conversation between feuding dooches:
"Ow Jack, that hurt, you dooch! Grr"
"Sorry man, that was a dooch move on my part."
Conversation between girlfriends:
"Dooooch that dress looks good on you!"
"Thanks dooch, I hope John likes it!"