The accelerated state of affliction of doucheness disease which has become irreversible and leads to complete social death.
Someone so completely immersed in doucheness, that they are automatically considered as a stand-by replacement for any member of the cast of Jersey Shore.
“you know, I saw Rick S. the other day, his douchethelioma is really bad now.”
"so we called Jeannie C. and pretended to be her doctor's office with her test results – when we told her she had a raging case of douchethelioma, she asked if it was curable and we told her it was terminal.”
“that fat skank Roseann could definitely replace Mangelina next season on Jersey Shore: Corpus Christi.”