To me there are really two choices... either your main heal or your lay hands upgrade. I think I would get a lot more use out of the main heal, and at 250-300 more in healing over adept 1 this is a nice upgrade. The again, the lay hands is a minimum of 1,000 more healing. That could work in a serious jam for sure, problem is, I rarely use my lay hands line and it has a wicked recast time. If only an upgraded ward was an option since I usually offtank and every fight begins with me putting this on the main tank, or me pulling and right after I taunt I put my ward on myself.