Posted 4/9/2014 6:05 AM (GMT -5)
A medication will "work" on a certain population of cancer cells, let´s say, for the sake of making a simple illustration, on 95%. 5% it will not touch (some call this a cancer stem cell). When 95% of cell population dies, the other 5% will take over, introducing into the population a cell that is already resistent to the medication. That is why usually medications work only once, before the resistent cells introduce their phenotype into the population.
If 95% of cells did not die the first time, or the 5% of cells who survived give rise to offspring that have retained some of the characteristics of the original cell, the medication may work second, third, fourth time. This is the case, for example with intermittent hormone therapy, where after each cycle ON, the PSA drops back to 0. There are also other theories on why a medication will keep working, but most important thing is that chemo is working for your father. Quite inspiring, greetings to you both!