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Contrary to what most players expected, I believe Moonstone Renewer is still performing really well with our build this patch. I have been testing the durability patch changes with different builds, and aery/moonstone has given me the best results so far.
Due to the durability changes, I might consider Fimbulwinter as a core item too (works great with Spirit Visage and Moonstone Renewer, you have more time to stack it, extended fights need more mana and the shield can proc more often). The game got slower and there is no need to rush resistances as much as before, so buying only magic resist/armor components and not finishing them until later on seems like the way to go. Try experimenting with Moonstone->Fimbulwinter and see if the playstyle suits you.
Slowing down the game also means longer fights and more time to cycle through your abilities in skirmishes and teamfights - also giving you and your team more value out of Moonstone Renewer than before 12.10 (the main strength of this item is the shielding/healing it provides to your team and longer games mean more of these!).
To be honest, I also expected the W nerf to feel worse, but it does not, due to the longer fights karma excels at.
Grievous wounds have been hit really hard too, which is great for healing builds (for example, based on numbers alone even lifesteal against grievous wounds is stronger than before this patch, even if unreduced healing got weaker).
Overall, the build is in a good spot. I still need to test Sunfire Aegis/Divine Sunderer builds more, but Moonstone Renewer seems very viable and gets more value as the game goes on.
Comet is good on mid (mage playstyle), but not so much with our ability haste based tank build. It simply does not provide the insane versatility and teamfight potential aery or phase rush give. Aery can also proc on auto-attacks, which makes your poke better than comet as you want to AA often. Comet is also outperformed by the sustain and scaling of grasp if you want to dominate the lane.
If you want to get better at calls and more comfortable with them, the only thing I can say is: Do not be scared of doing them. Bad calls are good for learning, so call your jungler for that herald, push, or whatever else objective there is to take. You learn more from mistakes than you do from games that go perfectly well - it makes you a better player in the long run!
That is until I found this build. AND IT HAS BEEN SO MUCH FUN PLAY MY GFURL AS A TANK. THANK YOU FOR YOUR HELP AND FOR MAKING THIS GUIDE