No worries about rubbing me the wrong way. I know that it is easy to misread things in an online forum, or texts, email, etc. So I could very well be wrong. I hope I am.
You do need to be careful though to not keep the dial turned up to 11 all the time (Spinal Tap reference, not sure if your generation gets that or not, my kids probably wouldn’t). You can’t talk about this and worry about this all the time (and I don’t know if you do, but I can see how you would). Even if you haven’t crossed the line yet, it is very easy to alienate people that way. You need to keep that in mind. I have had that same struggle (in a different but related area of my life), this isn’t just advice from nowhere. People do get sick of you obsessing about succeeding at something. Especially when they know they are not going to achieve that level of success. They may say they don’t care and are happy for you, but on some level it still stings a little, especially if they have to hear about it all the time.
Also just for your own mental stability you need to take some of the pressure off. Virtually no one gets to just pick which Ivy they will attend, and plenty of perfect SAT scores with great EC’s get turned down by all the Ivy’s they apply to every year. There is a randomness factor that you just can’t take out of the process. And if your entire self worth is tied up in getting that admission, then you are potentially setting up yourself for feeling like a failure, when in actuality you are being very successful.
I know the small school thing has you stressed out, but I’ll give you some background on me to maybe alleviate some stress. I grew up in a town probably smaller than yours in a high school definitely smaller than yours. There were exactly 0 honors or AP classes offered, I hadn’t even heard of them until I got to college. I went to an open enrollment state flagship, the only school I applied to. I know that is not the path you want.
However, once I got there I experienced quite a bit of success in different areas. My GPA was about 3.75, good but by no means outstanding, especially given the competition I had for grades. I applied to and was admitted to a top 5 law school. I think the fact that I was a rural kid was one of the main factors in me getting admitted. They already had a ton of students from NYC and California. They wanted someone to give some variety and a different experience to the class. It also was a great talking point in my interviews a couple of years later.
There are 2 points here. 1- Growing up in the middle of nowhere without a traditional track to an elite school does not mean that you will never get there. I might well have been able to go straight to the top school, I don’t know because I wasn’t encouraged to try. 2-Even if you don’t get there initially, as long as you go somewhere you will have ample opportunities at any college to set yourself up for Med School or other Grad School at a prestigious university. And ultimately that matters more anyway. My law school classmates were mostly from Harvard, Columbia, etc. I never felt that I was looked down upon as attending a mediocre undergrad. If anything, it was seen as more impressive that I was able to take the less direct path and still succeed. That continued into my career by the way. When people heard where I was from, they always had a question or comment about it. I didn’t ever see the “wow, you went to Harvard undergrad” reaction. Everyone I worked with, both on my side of the table and the other side, was smart enough to go to Harvard, and we all knew it. The diversity was more interesting.
Good luck, and try to not get so worried about this. Life works out. Not always the way you see it, but usually in a good way. I have had lots of twists I didn’t expect, some bad some good. But it all works out.