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Dr. Rocco Armanda
Foreign.
Juana Summers
We want to take a moment to acknowledge a profound change. October 1st will mark the first day in more than half a century that NPR and its member stations will operate without federal support. That's important. But what's more important, NPR and consider this aren't going anywhere. We'll still be here breaking down the major stories of the day and explaining what they mean for you. And one of the ways that we can do that is through your support. So thank you. Since Russia mounted its full scale invasion of Ukraine nearly four years ago, the losses for the country and its people have been enormous. Nearly 14,000 civilians have died. Fighting has led to hundreds of thousands of battlefield casualties. Russia now occupies some 20% of Ukrainian territory, 33.7 million people are internally displaced and nearly 7 million people have fled Ukraine because of the war. Ukraine has suffered devastating losses because of the war with Russia, but that conflict has inspired technological advances that are leading to better weapons and better treatments for the soldiers injured in battle. From NPR wanna Juana Summers.
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Juana Summers
It's consider this from NPR. NPR's national security correspondent Greg Myhre spent the summer reporting on the war in Ukraine. He he saw the devastation of the conflict, but he also saw something else, Ukraine leveraging its resources at home to meet the moment, including in Lviv, where they are racing to make as many of their own weapons as fast as they can.
Greg Myhre
The emerging arms industry here is on display at an odd place, an underground parking garage beneath a gleaming new office building known as Lviv Tech City Conference Organizers chose this secure space so the event couldn't be disrupted by one of Russia's frequent airstrikes.
Dr. Rocco Armanda
We're a Ukrainian company. We're building drones, all different kind of drones.
Greg Myhre
Maxim Yakovlev is with the arms maker Freedom Group. Many Ukrainian drones are used only once, flying into a Russian target and exploding. This one on display is a high end model. It has six propellers, carries 30 pounds of weaponry and can be reused.
Dr. Rocco Armanda
So it's heavy drones, which flies and carries grenades and explosives and throws it into the target and comes back.
Greg Myhre
When Russia launched its full scale invasion in 2022, Ukraine's arsenal consisted largely of aging hardware dating back decades when Russia and Ukraine were both part of the Soviet Union. Ukraine burned through those stockpiles at a furious pace and then became dependent on US And European weapons. Now Ukraine makes many of its own. Yaroslav Azhnuk runs two tech startups.
Yaroslav Azhnuk
Well, I lived in Silicon Valley for six years. I went through a very classic startup journey In California.
Greg Myhre
He launched petcube, a company that makes cameras to keep watch on pets. He brought that expertise back to Ukraine and now makes cameras for drones. He says Ukraine is rapidly emerging as a Silicon Valley for the defense industry.
Yaroslav Azhnuk
Ukraine today is the defense valley of the world. This has already happened. You sit in a cafe in Kyiv and you met one defense founder, and then 30 minutes later, another defense tech founder passes by. The energy here is just incredible.
Greg Myhre
Ukraine's president, Volodymyr Zelensky, says the country makes at least 40% of its own weapons, including virtually all of its own drones. The country had no real drone industry three years ago. It's expected to make 4 million of them this year. The latest models travel hundreds of miles, striking Russian oil refineries and causing significant damage to that country's most important industry. Oleksandr Moreshko is a member of Ukraine's parliament and heads the Foreign Affairs Committee.
Oleksandr Moreshko
We are outnumbered. Russia has more human resources. That's why we need more sophisticated weaponry to make up for, for this difference.
Greg Myhre
To fill this gap, Ukraine still relies on the US for its most powerful weapons, such as the Patriot air defense system and F16 fighter jets. President Trump has halted U.S. military aid to Ukraine, but he says the U.S. will sell American weapons to NATO countries, which can then give them to Ukraine. This is happening, though on a limited scale so far. So Ukraine is starting to make its own heavy weaponry. The current buzz centers on the Flamingo, a cruise missile that can travel 1800 miles. Some skeptics think the Flamingo may be overhyped but if it performs as advertised, Ukraine will have the ability to strike deep inside Russia with a large weapon again. Alexander Morezhko in terms of military technologies.
Oleksandr Moreshko
We are not a burden for NATO, for Europe and for the United States, we are very good partner, very promising partner.
Greg Myhre
For now, Ukraine's arms makers are relatively small and in need of foreign investment. Yet Yaroslav Ozhnuk sees potential.
Yaroslav Azhnuk
There is a big, big financial opportunity for the investors to come here. You know, Ukraine is this wild east. It's the eastern frontier of the Western civilization.
Greg Myhre
Outside help is welcome, but he knows much of the work in the near term is up to Ukrainians like himself.
Juana Summers
Greg Myy continues his reporting from a hospital in central Ukraine near the front lines. It is so old, it treated wounded soldiers during the Crimean war in the 1850s. Yet Metchnikov Hospital plays a critical role in the current Russia Ukraine war where traumatic brain injuries are all too common. With some help from from US doctors, Ukraine's neurosurgeons are conducting state of the art operations with cutting edge technology.
Greg Myhre
Metchnikov hospital is just 60 miles from the front line of the Russia Ukraine war. When Ukrainian troops suffer serious head injuries. And many do, this is where they need to come as fast as possible.
Dr. Andrei Sirko
Our rules, we need to start surgery in the first two hours after admission.
Greg Myhre
Just two hours after admission, much faster than most places. And that's Andrei Sirko, the head of neurology who handles the most complex cases. He's carried out 2,000 operations since Russia first attacked in 2014. The huge number of casualties and the severity of the wounds forced Dr. Sirko and his team to develop new ways of rapidly handling brain injuries, most now caused by Russian drone strikes.
Dr. Andrei Sirko
We implemented new strategy named comprehensive surgery.
Greg Myhre
Traditionally, a soldier with multiple brain injuries might endure several separate operations over many days. This could involve drilling a hole in the skull to relieve pressure from brain swelling, removing shattered skull fragments and delicate repair work on damaged blood vessels. At Metchnikoff, all this may be done in a single surgery.
Dr. Andrei Sirko
In the one operation, we all perform all stages.
Greg Myhre
However, the hospital's proximity to the front line also carries risk. This shattered glass inside the hospital is the immediate aftermath of a Russian missile strike last October. Dr. Sirco's 27 year old son, Dr. Bodan Sirko, is also a neurosurgeon. He was operating on a patient at the time.
Dr. Andrei Sirko
It was big bomb and it was like whistling of air. I never felt before. When you open your eyes, I think, okay, maybe I'm dead.
Greg Myhre
The blast shattered windows and shrouded the operating theater in dust and debris.
Dr. Andrei Sirko
Everything is quite gray. My nurse was like, fall down. And they say, okay. Everything is okay. I finished this operation.
Greg Myhre
This hospital in the central city of Dnipro was established in 1798. It proudly boasts one building still in use that treated Russian soldiers in the Crimean War, which ended with Russia's defeat in 1856. At the time, the region was part of the Russian Empire. Walking the crowded halls today is to travel through a time capsule from the Soviet Union. The main colors are blue, dull gray and drab brown. Chairs are scarce and worn bare. The elevator groans as it strains to reach the next floor. Then you peek inside an operating room.
Dr. Rocco Armanda
What I was amazed is that they had so much more capability than what we had in Iraq and Afghanistan.
Greg Myhre
Dr. Rocco Armanda is a neurosurgeon and a retired US Army Colonel who spent more than a decade serving in the Middle East. And at Walter Reed National Military Medical center, he operated on hundreds of U.S. troops with traumatic brain injuries, learning and pioneering new techniques over the course of the US Wars. He describes Metchnikoff Hospital this way.
Dr. Rocco Armanda
It's like if you had transported Walter Reed within an hour of the front line. They're so close to the battlefield and doing amazing, heroic work. But just for comparison, two days in Ukraine is equivalent to the worst month that we had in Iraq.
Greg Myhre
Dr. Armanda, now at Georgetown University Hospital, has traveled here three times in the past two years. He hauls supplies to the hospital and assists on operations. He's also helped it acquire multimillion dollar equipment. He's most impressed by what Ukrainian surgeons learned long distance from Americans and from their own war experience at home.
Dr. Rocco Armanda
They took it one step further. They took devices that we would use, let's say, to treat a civilian aneurysm emergency, and they applied it to wartime injuries. In short, I was teaching them some things, but I think I was doing a lot more learning than teaching.
Greg Myhre
In his cramped office, Dr. Andrei Sirco opens a plastic bag with shrapnel he's removed from the brains of patients. He pours the contents on his desk.
Dr. Andrei Sirko
Different patients. One patient on bullet. Another is metallic splinter. Metallic fragment after explosion.
Greg Myhre
A green piece of metal is the size of a credit card. That patient, Dr. Sirco says, is doing reasonably well. Then he displays a tiny pellet the size of a pea. This patient died, he explains. War is random. Outside his office, the hallway is now filled with patients. He has six more surgeries planned for the week.
Juana Summers
That was NPR's Greg Myhrey in Dnipro Ukraine. This episode was produced by David west and Matt Ozug. It was edited by Andrew Sussman. Our executive producer is Sammy Yenigun. Foreign It's Consider this from npr. I'm Juana Summers.
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Consider This from NPR
Date: September 30, 2025
Host: Juana Summers, Reporting by Greg Myhre
This episode explores how Ukraine’s devastating war with Russia has catalyzed a remarkable wave of innovation, particularly in weapon manufacturing and battlefield medicine. While facing immense losses and ongoing hardship, Ukraine is leveraging homegrown talent and resources to become a cutting-edge hub for defense technology and trauma care, reducing reliance on foreign support and radically reshaping its military capabilities.
Human and Territorial Losses:
Technological Response:
Secure Production Amid Threats:
Drone Innovation:
Startup Mentality and “Defense Valley”:
Domestic Weapons Production:
Bridging the Gap Despite Outnumbered Forces:
Ukraine’s Position on International Support:
Potential for Investors:
Metchnikov Hospital:
Comprehensive Surgery Approach:
Working Under Fire:
Comparison to U.S. Military Medicine:
Ukrainians Innovating on the Fly:
The Human Cost and Routine of War:
| Time | Speaker | Quote | |-----------|----------------------|----------------------------------------------------------------------------------------------| | 01:14 | Juana Summers | "That conflict has inspired technological advances that are leading to better weapons..." | | 04:50 | Yaroslav Azhnuk | "Ukraine today is the defense valley of the world. This has already happened..." | | 05:38 | Oleksandr Moreshko | "We are outnumbered. Russia has more human resources. That’s why we need more sophisticated weaponry..." | | 06:36 | Oleksandr Moreshko | "We are not a burden for NATO...we are very good partner, very promising partner." | | 06:52 | Yaroslav Azhnuk | "There is a big, big financial opportunity for the investors to come here..." | | 07:56 | Dr. Andrei Sirko | "Our rules, we need to start surgery in the first two hours after admission." | | 10:59 | Dr. Rocco Armanda | "It's like if you had transported Walter Reed within an hour of the front line..." | | 11:41 | Dr. Rocco Armanda | "In short, I was teaching them some things, but I think I was doing a lot more learning than teaching." |
Through reports from factories and operating rooms, this episode highlights a Ukraine that—despite immense adversity—is forging ahead with self-reliance, ingenuity, and international collaboration. Its arms industry is swiftly maturing, and its medical teams are matching and exceeding Western standards, all in the shadow of an ongoing war. The global implications are clear: Ukraine isn’t just surviving; it’s setting new standards for innovation under fire.