I'm in the process of optimizing macros and hotbars/keybind on SCH and was wondering if people have suggestions.

For strict healing I don't have an issue, it gets more complicated when I want to add dps into the mix, or micro my fairy. Not enough room for a single hand.

3 horizontal bars + pet bar.
I use 1-5 for phy,adlo,suc,leeche,lustrate, then 6-7-8-9-0 and - = for dps
ctrl +1-2-3-4 for virus, e4ae,bane,sustain,drain (too clunky past number 4)
alt +1-2-3-4-5 +8. aether,stoneskin,rouse,Soil,swiftcast, alt 8 is for cleric stance
I use F/G for place and heel. I usually click for obey. Tilde is used for embrace.
I don't use shift combos atm

Any suggestions ? num pad maybe ? shift/ctrl beyond 4 and q-e are clunky to me.

tl:dr ... GOD do I wish for a healbot app for ffxiv. Would make my life simpler lol. Not enough room for a single hand.