I'd argue there's rarely a case you need two Nurses and also taking three Guild Autopsies might be a bit overload. There is better you can spend your points on, but again it all depends on Schemes and Strategies anyway. When I started with McMourning I had bought additional Canine Remains, another Flesh Construct and a box of Rotten Belles. You want them and you want them always (Dead Doxies would also be an option). Belles give you so much more board control and they are worth every point (and cent as well ;)).