Thanks for putting it all together in your profile Liz.
At the time Geoff last had scans it seems that his cancer had not spread [despite a scary false alarm]. Now, with his psa at .39 there's clearly a problem but it's not clear what and where that "problem" is doing its thing.
I hope you're able to forge a connection with your GP and an oncologist to get some decent scans and at least be aware of exactly what you're up against. I would guess that the recommendation is going to be ADT and RT and you or Geoff might not be willing to go down that path. He might be able to have RT of some form without HT though.
You're in a horrible position as a carer and I suspect that might be harder than being the "patient" in many ways.
I don't understand your trenchant opposition to HT and RT. As someone who's gone through it [at age 76] it wasn't pleasant but it's possible to make a complete recovery from that double act and amongst the many challenges that life throws at us, this one is different but the same as others in that it still takes the same sort of strength to get through as any other crisis does.
You're here on a forum dedicated to taking on prostate cancer and you've stuck with it despite the fact that your ideas aren't well received. I hope you and Geoff will come out the other side of this, the way many others have here.
I'm keeping well 😀, thanks for asking.
Jules