In its earliest days of settlement, Middle Park area residents and travelers doctored themselves using whatever remedies they were able to concoct on the scene of accident, illness, or injury.  The cure might have been a poultice of herbs, bread, oil, mustard, or something called Raleigh’s Ointment.  It might have been a dip in the medicinal springs at Hot Sulphur, a dose of iodine, arnica or vinegar, castor oil, Epsom salts, or any number of other standbys.

The first “doctors” known in the area were Dr. Hilery Harris (1874 or 1876) and Dr. David Bock (1876); both were “self-certified”.  Dr. Harris had a predilection for the treatment of animals, while Dr. Bock treated the medical and dental needs of the people. By the mid-1880s, there were a number of doctors traveling through the area, working for various entities and setting up private practices.  During the mining boom, there were a number of physicians and surgeons in Teller City, which was then a part of Grand County.  

Around 1900, the Dunphy and Nelson Contracting Co, a construction firm building roadbeds through the Fraser Canyon for the Moffat Railroad employed Dr. John Wills as company physician.  By 1903, the Denver, Northwestern and Pacific Railroad employed Dr. Leonidas Wills, cousin to John Wills, for its employees and families.  These types of company jobs provided regular work as well as regular pay for doctors who otherwise would have had little in the way of compensation for their work.

Many of the doctors found themselves moving from community to community as the working community moved--from the Fraser Canyon to the Gore Canyon to lay roadbed, or from one logging area to another.  Later, work flow was based on government projects such as the construction of the Moffat Tunnel and the Alva B. Adams Tunnel, both of which went back to the old tradition of having a company doctor.  By the time of the coming of the Moffat Line to Grand County, most of the communities had drug stores, many of which were owned solely, or in part, by the local physicians. There, people could avail themselves of all types of patent medicines, drugs, toilet articles, soaps, perfumes, and sometimes even a drink at a soda fountain.

It was common for surgery to be done in the home of the patient, or the doctor.  Only occasionally, for the worst of illnesses or injuries, did the doctors attempt to transport patients over the Continental Divide to a Denver hospital.  Childbirth was almost always in the mother’s home, under the watchful eye of a female neighbor, or a midwife, and  rarely with a doctor in attendance.

Dr. Archie Sudan built a medical facility in Kremmling and Dr. Susan Anderson remodeled a barn in Fraser to accommodate her patients. Often it was the wife of the doctor, who might be a nurse, who attended the patients.  Many of those in attendance were trained by the doctor in charge; some went on to attain certifications as Registered Nurses or other professionals.

In June, 1947, the Middle Park Hospital Association held a fundraiser to undertake hospital improvement.  The first $20,000 raised went to buy the home/hospital of Dr. Archer Sudan.  In total, the group raised between $35,000 and $70,000 to purchase, remodel, and outfit the facility, which was intended to serve all of Grand County, most of Summit County, and parts of Eagle, Routt, and Jackson counties. The hospital had four private rooms, three wards for six patients each, living quarters for hospital personnel, an office, exam room, operating room and an x-ray room.  Dr. Ernest Ceriani was the first physician for the new facility.

The local rural physicians often called on their colleagues in the city for assistance with difficult cases.  They arranged for specialists to visit, consult and perform surgery, saving the patients and their families hospitalization in Denver.  Just as today, the need for specialized care presented special difficulties for the rural physician of the early days.

The list of physicians, surgeons, dentists, osteopaths, and veterinarians who served Grand County is lengthy, but the most famous are Dr. Susan Anderson (Fraser), Dr. Archie Sudan (Kremmling), Dr. Mac Ogden (Granby and Kremmling), Dr. Ernest Ceriani (Kremmling), and Dr. James Fraser (Grand Lake).  “Medical Practices in Early Middle Park-Grand County” includes extensive information on each.

Berthoud Pass Stage Road was built by the extreme efforts of Captain Lewis Gaskill.  It came from the top of the Pass through Spruce Lodge, Idlewild (now Winter Park), the Cozens Ranch (near Fraser) Junction Ranch (Tabernash) and Coulter.  From there once branch lead over Cottonwood Divide to Hot Sulphur Springs (and points west) while the other went to Selak’s and over Coffey Divide to the Lehman Post Office and on to Grand Lake.  

At the summit of Berthoud Pass there was a large house of hewn logs, occupied by Lewis Gaskill and his family.  They collected the tolls for the road and gave welcome shelter to those weathering the variable passage.  The house was located on the West side of current Hwy. 40 but no trace of the building remains.  

At the steepest portion of the west side of Berthoud Pass was the Spruce House rest stop, which by 1900 was a sold structure of two and a half stories.  There the traveler could find a warm meal and corral for livestock.  No trace of it remains today.  

The Idlewild Stage Stop was located in present day Winter Park and was a popular place to change horses before the steep assent up the pass.  Mrs. Ed Evans served a hearty noonday meal there for only 35 cents.

Cozens Ranch was also one of the more popular stops and Fraser Post Office until 1904. Built around 1874 by William Zane Cozens, it remains today, outfitted in period décor and is the home of the Cozens Ranch History Museum.  

The Gaskill House, in Fraser was built by Lewis De Witt Clinton Gaskill, one of the original investors in the road and a prominent Grand County citizen. The house now houses the Hungry Bear Restaurant.

Junction House at Junction Ranch (Tabernash) could accommodate up to fifty travelers and was built by Quincy Adams Rollins, and subsequently leased to Johnson Turner.   

The Coulter Stage Stop was built by John Coulter, an attorney from George town and shareholder in the stage road.  It also served as a Post Office from 1884 to 1905. 

Frank and Fred Selak, sons of a pioneer Georgetown brewer ran the Selak stop which was north of Granby and east of current Hwy. 34.           

Cottonwood Divide (Pass), at 8904 feet above sea level, was laid out by Edward Berthoud and Redwood Fisher in 1861.  The route was used by stagecoaches from 1874 until the railroad arrived at Hot Sulphur Springs in 1905.  The last driver on the route was Charlie Purcell.  Summer travel time between Hot Sulphur Springs and Georgetown was typically twelve hours. Travelers between Hot Sulphur Springs and Kremmling could stop at the Barney Day or King Ranches, both near current Hwy. 40.   The Pinney Ranch House, used by the firm of Whipple and Metcalf for the connecting service to Steamboat Springs, is still standing on Hwy. 134 on the east slope of Gore Pass. There a traveler could pay 50 cents for a meal, 50 cents for a bed and expect a change of horses every ten miles.  It ceased operation in 1908 when the railroad reached Toponas.  

The original Grand County contained North Park as well as Middle Park, and during the mining boom of the early 1880's there were several mining camps east of the modern town of Rand. It was several years after the mining boom northern area of Jackson County was created.

Teller City was founded in 1879 and named for Colorado's famous Senator Henry M. Teller, who later became U.S. Secretary of the Interior.  By 1882, the population of Teller City was about 1200.  It had a fine hotel with 40 rooms, a newspaper and two steam saw mills.  It was a lively Old West town with twenty seven saloons and a number of "houses of ill repute".

Some high quality ore assayed at Teller City was as much as $3000 a ton, but most of that soon ran out and by 1884, the high shipping costs to far away smelters dropped the price per ton dropped to $20. The best mine, Endomile, was three miles from town.

Crescent City, southwest of Teller City had an even more brief existence, but there was population enough for a U.S. Post Office in 1880. 

Rumors of valuable silver three miles sough of Teller City drew a number of prospectors to found the camp known as Tyner.  John Noble Tyner was the First Assistant Postmaster General of the United States and visited the mining camp so named in 1879.  He promised the miners a weekly mail delivery if at least 2 miners mined through the winter.  Tyner had been a special agent for the Post Office from 1861 thru 1868, at which time he was appointed to serve in an open seat in the U.S. House of Representatives for Indiana.  He ran for election win the appointed term ended and was elected and continued to be reelected and serve as a Representative until 1875 when President Grant appointed him Second Assistant Postmaster General.  Grant would later appoint him to the "big job" of Postmaster General in 1876. 

Tyner worked to elect Rutherford B. Hayes in 1876 and after Hayes was elected and took office in March of 1877, Hayes appointed a new Postmaster General, but gave the second spot, First Assistant to the Postmaster General to Tyner.  Historians suggest that Tyner's demotion angered him to the point that he allowed wide spread corruption in the day to day operation of the Postal Service which was his responsibility to over see. He resigned in 1881 under great public pressure from what became known as the "Star Route Fraud scandal".  He would remain a political figure  being appointed  various positions  with the U. S. Postal Service until shortly before his death in 1904.  Although indited three times for corruption in his Post Office management, he was never convicted.  The "Star Route Fraud scandal", may have local implications.  It had to do with over charging and providing needless postal routes, roads and post offices and kick backs to politicians from contractors .

The idea of diverting water from the Colorado River on the Western Slope of the Continental Divide to the productive farmlands of the eastern plains had been a dream of planners as early as 1929.  Subsequently,  a long period of drought and the sagging economy of the “Great Depression” whetted demands for what became the largest trans-mountain diversion project ever built.

The Colorado-Big Thompson Project takes water from Grand Lake on the western side of the Continental Divide to the Big Thompson River on the east.  The water flows through a 13 mile tunnel beneath Rocky Mountain National Park.  In order to supply the residential and farming needs of Northeastern Colorado, the project was begun in 1938 and continued through the years of World War II.  The first water flowed though the tunnel, named for Senator Alva B. Adams, on June 23, 1947.

In order to assure an adequate supply from Grand Lake, a dam was built creating Shadow Mountain Reservoir.  A larger lake, Granby Reservoir was then built below, with a unique pumping plant that forces water into Shadow Mountain.  The Farr Pumping Plant cost over $9 million and provides an additional 700,000 of irrigated land to northeastern Colorado.  Further reservoirs were added, both to supplement the diversion and to compensate the water needs of Western Colorado.  These include Willow Creek and Windy Gap Reservoirs in Grand County.

While most legislators were enthusiastic about the project, U.S. Representative Edward Taylor was vehemently opposed to the reduction of water flowing down the Colorado River.  A compromise was reached in the creation of Green Mountain Reservoir (on the Blue River), which reserves water to replenish the Colorado River.   The city of Denver later claimed upstream water on the Blue River for the massive diversion project of Dillon Reservoir

Claims on the water of the Colorado River range from the fruit and wine regions of the Grand Valley in Colorado all the way to Los Angeles and Mexico.  It can be said that every snowflake which falls in Western Colorado had already been over-appropriated, especially during drought periods in the arid West.