
Annotation:
"one step forward and two steps back" (idiom) means when progress is made something bad happens which causes you to be in a worse position than you were to begin with.

I'd like to ask: Should I imagine "one step forward and two steps back" just one time or repeatedly?

It can be either one time or more than once.
When I wrote the sentence, I was thinking of a series of setbacks to Tom's health.
The sentence is, however, open to interpretation and my sentence could also mean Tom has had one setback. In a conversation, the context would make it clear.

Thank you for your explanation. I'm going to add a second translation. ☺

And now we have
[#3394140] — a series of setbacks to Tom's health
[#3394212] — one setback

Thanks, Alexander!
☺

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This sentence is original and was not derived from translation.
added by patgfisher, July 24, 2014
linked by al_ex_an_der, July 24, 2014