use strict;
my $str = 'r n r n r nFamily Medical History new r n r n r r r Roger nRobert n nDawson n49 nyears old , right shoulder';
my $regex = qr/\b[rn](?=[A-Z0-9 ])/mp;
my $subst = ' ';
my $result = $str =~ s/$regex/$subst/rg;
print "The result of the substitution is' $result\n";
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for Perl, please visit: http://perldoc.perl.org/perlre.html