The Usual refers to a persons "Go To" move used as a prelude to sex/love-making.
Jon: Sweetie, can I give you a backrub to help you fall asleep?
Karen: Ah... The Usual? Sure that would be nice
Jon then proceeds to rub and kiss Karen's back and then her bumb until he is ultimatelymaking love to her.
Karen: That's not my back Jon...but keep going...
When a person walks into a bathroom to drop a deuce, and stands up when their finished only to realize they were sitting on another person who was using the toilet the entire time.
A doctor who has been to multiple countries to serve or learn, the doctor treats you as though you are about to die but at the same time you are going to live a good life, the doctor usually has big eyes and is most of the time a big shot woman who freaking awesome and sometimes scary in colonoscopies.
What racist white people like to describe black people as, "the usual suspects" without explicitly saying black people. Sadly this has become somewhat of a trend by accounts with no real name or profile pictures.