Fatigue

I am deep down tired and can't get motivated. I find myself wasting time when I am off work when I should be productive but just want to laze around and watch TV or read a book/play with dog.
I was thinking about this on my run today--I am working a lot, but relative to other residents I think ER residents work less hours. I finally realized it is the lack of schedule and constant rotating of shifts that is just HARD!
THis week:
Monday 2-11pm, Tues 7:30- 12:00 back for 10pm-7am, Wed 10pm-7am, Thurs "off" Fri 3-11, Sat 10am-10pm, Sun 10am-8pm
It continues kind of like that. Days, evenings, overnights etc... I have a hard time planning for anything. My sleep is constantly disrupted (slept 4 hours today--woken up by construction going on next door at least 2 times during this 4 hours).
I'm just tired...
How do I have time to do my to do list:
1. research project--crap I have to get started on this and actually do something that can get published--time is ticking.
2. my core talk (big talk to all the doctors)
3. My away rotation: get endless forms signed and coordinated.
4. submit my paper to a journal
5. I am in charge of board review--have to prepare those talks.
This is just my work stuff to do...how about my personal stuff? Forget about it... I am happy that I still manage to work out 4-5 times per week though the intensity of my work outs are pretty weak most of the time. I was supposed to start climbing and that was going OK but again without a schedule, I end up just not sticking with it. I am behind multiple birthday gifts/wedding gifts.
AAAAHHHHH! I cant keep up with this life. It is too busy. It is too hard!

Ok, well I guess I will just go watch some TV by the fire...