I work in healthcare and take 24/7 on-call every three weeks its really reeking havoc on my sleep and my ADHD. and I've gotten in trouble at work like eh 3-4 times in the 6 mo I've been there and it's always been when I'm on call. (the call is brutal) I've even gotten in trouble for sleeping through my pager on call too. I miss doses of my medication when I'm on call due to the randomness of my life on call, as if I didn't have enough trouble being organized. I am hoping to talk to my employer about the effects of sleep deprivation on my ADHD but frankly I've only seen supporting information for sleep disorders and ADHD, not the impact of sleep loss on ADHD. when I can get a regular sleep schedule and take my meds I function quite well and never anticipated how hellish my life was about to be come now that I have all of this on call.