Currently Rank 65 on ladder (all games played live), heres what I've been building on the new patch
MID:
with T3 boots and DBOW available mid there are a lot more builds that have opened up for yone here.
D shield is still mandatory in some matchups (Viktor / Syndra / Aurora) or other ranged champs.
Dbow is good for scaling and opens up a lot of build possibilties
in melee matchups (sylas, irelia, tanks) going DBOW -> BORK -> Vamp Boots/Defensive is a good option for long fights
in assassin / volatile matchups (zed, katarina, yasuo) one option is rushing dbow -> berserkers -> shieldbow you still get 55% attack speed with t3 berserkers and shieldbow is really good item to have early when enemy has a lot of burst
also when into teams with not much burst, going conquerer with PD -> Vamp boots -> IE/LDR is a really strong option
if enemy team has a lot of squishies and you can take DBOW, going kraken -> Vamp boots is also really strong with super high DPS and healing
TOP:
Dbow is a lot easier to take here, but for 90% of matchups im still going standard berserkers -> BORK -> SB -> LDR
im also live on twitch rn if you have any questions i can try to answer