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The first being the statement of tanking more than a rammus. This could simply be the opponents ignoring the tank, or simply because rammus should have far more resistances than you, meaning he may be tanking a lot more, but also having less damage done.
Secondly, you may not like Will of the Ancients or may not use it, but using that combined with the ap you have would give you much more healing, and to be honest, it has enough ap on the item to be considered. Also, there is synergy with other ap champs you may have, and since both Vladimir and Kennen are both common top picks, You would see even more increases to healing with the double spell vamp, not to mention the extra 30 ap.
Mejais Soulstealer should only be a very situational pick when building swain, since he usually does take a lot of focus because of his burst. This could mean he dies and loses stacks, so he should only buy this item when facerolling, and if you are in the firstplace, the mejais wouldn't be doing much anyway.
This is still a guide worth reading to at least get some insight into the champian and some strategies that you can use. Please just take this advice into consideration, since I too play Swain as one of my main ap mid champs, and would like to hear what you think about it!
I play Swain very often, and I use this build everytime, very good! Most games with this build are at least 14 kills and not more than 5 deaths.
should be rated better! 1+!